Organization
SUBBARAO MYLAVARAPU, MD, A PROFESSIONAL MEDICAL CORPORATION
Active
Other names
Premier Heart & Vascular Care
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBARAO V. MYLAVARAPU MD (OWNER/CEO)
(949) 722-2411
Entity
Organization
Contact information
Practice address
351 HOSPITAL ROAD, SUITE 610, NEWPORT BEACH, CA 92663-3508
(949) 722-2411
(949) 650-4966
Mailing address
351 HOSPITAL ROAD, SUITE 610, NEWPORT BEACH, CA 92663-3508
(949) 722-2411
(949) 650-4966
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A044935
CA
Other
Enumeration date
12/24/2007
Last updated
10/02/2008
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