Organization
ELITE CARDIOVASCULAR GROUP PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIKHIL NALLURI MD (PHYSICIAN OWNER)
(205) 880-7575
Entity
Organization
Contact information
Practice address
925 YORK DR, DESOTO, TX 75115-2043
(972) 572-1600
Mailing address
2101 SHANNON OXMOOR RD # 270, SHANNON, AL 35142-2000
(205) 880-7575
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Enumeration date
11/16/2021
Last updated
08/02/2022
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