Organization
PAUL MOORE
Active
Parent organization
THE HEART GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE HEART GROUP
Authorized official
DR. SATYAM TATINENI MD (PRESIDENT OF MEDICAL GROUP)
(812) 464-0521
Entity
Organization
Contact information
Practice address
2000 N ELM ST, SUITE A, HENDERSON, KY 42420-2385
(812) 464-0521
(812) 464-0565
Mailing address
PO BOX 3316, EVANSVILLE, IN 47732-3316
(812) 464-0521
(812) 464-0565
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
22393
KY
Other
Enumeration date
03/21/2008
Last updated
03/21/2008
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