Organization
HEART CARE LLC
Active
Organization
HEART CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBHASH K. REDDY MD (OWNER)
(260) 432-7000
Entity
Organization
Contact information
Practice address
7806 W JEFFERSON BLVD, SUITE D, FORT WAYNE, IN 46804-4180
(260) 432-7000
(260) 969-9119
Mailing address
7806 W JEFFERSON BLVD, SUITE D, FORT WAYNE, IN 46804-4180
(260) 432-7000
(260) 969-9119
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200975120A
—
IN
05
—
200975120B
—
IN
Enumeration date
10/07/2009
Last updated
01/04/2012
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