Organization
CARDIOLOGY ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PRADIP K MISHRA MD (OWNER)
(931) 647-3797
Entity
Organization
Contact information
Practice address
311 LANDRUM PL, SUITE 100, CLARKSVILLE, TN 37043-6319
(931) 647-3797
(931) 920-2191
Mailing address
P.O. BOX 3479, CLARKSVILLE, TN 37043
(931) 647-3797
(931) 920-2191
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD0000029165
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1517323
—
TN
Enumeration date
08/23/2007
Last updated
02/19/2013
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