Organization
HEART SMART PLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAGHURAMAN SRINIVASAN M.D. (SOLE OWNER)
(606) 301-3412
Entity
Organization
Contact information
Practice address
450A TUCKER DR, MAYSVILLE, KY 41056-9110
(606) 759-0339
(606) 759-0139
Mailing address
450A TUCKER DR, MAYSVILLE, KY 41056-9110
(606) 759-0339
(606) 759-0139
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
28708
KY
207RI0011X
Interventional Cardiology Physician
Primary
28708
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64287089
—
KY
Enumeration date
09/27/2013
Last updated
11/21/2013
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