Organization
INLAND HEART AND VASCULAR MEDICAL ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ASHIS MUKHERJEE MD (PRESIDENT OWNER)
(909) 883-8938
Entity
Organization
Contact information
Practice address
339 E HIGHLAND AVE, SUITE 209, SAN BERNARDINO, CA 92404
(909) 883-8938
(909) 883-1739
Mailing address
339 E HIGHLAND AVE SUITE 209, SAN BERNARDINO, CA 92404
(909) 883-8938
(909) 883-1739
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
GR0093120
—
CA
Enumeration date
10/25/2006
Last updated
07/30/2007
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