Provider Demographics
NPI:1073292280
Name:ELITE-CARE CARDIOLOGY & VASCULAR CENTER PLLC
Entity Type:Organization
Organization Name:ELITE-CARE CARDIOLOGY & VASCULAR CENTER PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER/ CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:MANAVJOT
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:SIDHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:607-207-3110
Mailing Address - Street 1:4417 UNIVERSITY BLVD UNIT A
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75205-1638
Mailing Address - Country:US
Mailing Address - Phone:607-207-3110
Mailing Address - Fax:
Practice Address - Street 1:8195 CUSTER RD STE 110
Practice Address - Street 2:
Practice Address - City:FRISCO
Practice Address - State:TX
Practice Address - Zip Code:75035-3195
Practice Address - Country:US
Practice Address - Phone:607-207-3110
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-14
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty