Organization
CHARLESTON HEART SPECIALISTS, PLLC
Active
Other names
Heart Imaging
Organization subpart
No
Provider details
NPI number
Authorized official
DILIP K BASU MD (PRESIDENT)
(304) 346-2284
Entity
Organization
Contact information
Practice address
2335 CHESTERFIELD AVE, SUITE 201, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 346-6590
Mailing address
2335 CHESTERFIELD AVE, SUITE 201, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 346-6590
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13143
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
9299784
MEDICARE GROUP
—
Enumeration date
06/10/2008
Last updated
03/02/2010
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