Organization
HEART GROUP, PC
Active
Other names
The Heart Group
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHANDRASHEKAR KUMBAR MD (PRESIDENT)
(812) 464-9133
Entity
Organization
Contact information
Practice address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-4485
Mailing address
4015 GATEWAY BLVD, SUITE 2120, NEWBURGH, IN 47630-9460
(812) 842-0907
(812) 464-4485
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
IN
207RC0001X
Clinical Cardiac Electrophysiology Physician
—
IN
207RI0011X
Interventional Cardiology Physician
—
IN
2086S0129X
Vascular Surgery Physician
—
IN
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
—
IN
363AM0700X
Medical Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100179860
—
IN
05
—
200512330
—
IN
05
—
65917130
—
KY
Enumeration date
01/25/2006
Last updated
12/15/2016
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