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Organization

CHARLESTON HEART SPECIALISTS PLLC

Active
Other names
Iyer Lee
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 200, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 345-7745
Mailing address
2335 CHESTERFIELD AVE, SUITE 200, CHARLESTON, WV 25304-1066
(304) 346-2284
(304) 345-7745

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
13143
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0086281000
WV
05
0087274000
WV
01
1033172077
NPI NUMBER
01
1497718803
NPI NUMBER
Enumeration date
06/18/2008
Last updated
03/02/2010
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