Organization
CARDIOMED PLLC
Active
Organization
CARDIOMED PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANDEEP VARDAN MD (OWNER)
(276) 582-0888
Entity
Organization
Contact information
Practice address
990 LEATHERWOOD LN, BLUEFIELD, VA 24605-2047
(276) 582-0888
(276) 582-0877
Mailing address
PO BOX 1557, BLUEFIELD, WV 24701-1557
(276) 582-0888
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
0101220759
VA
261QH0100X
Health Service Clinic/Center
Primary
19508
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005842981
—
VA
05
—
0081887000
—
WV
Enumeration date
05/31/2007
Last updated
04/01/2016
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