Provider Demographics
NPI:1316377005
Name:CARDINAL HEALTHCARE PLLC
Entity Type:Organization
Organization Name:CARDINAL HEALTHCARE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:VINEET
Authorized Official - Middle Name:K
Authorized Official - Last Name:SOOD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:304-820-1031
Mailing Address - Street 1:1179 T J JACKSON DR
Mailing Address - Street 2:SUITE A
Mailing Address - City:FALLING WATERS
Mailing Address - State:WV
Mailing Address - Zip Code:25419-4698
Mailing Address - Country:US
Mailing Address - Phone:304-820-1031
Mailing Address - Fax:304-820-1033
Practice Address - Street 1:1179 T J JACKSON DR
Practice Address - Street 2:SUITE A
Practice Address - City:FALLING WATERS
Practice Address - State:WV
Practice Address - Zip Code:25419-4698
Practice Address - Country:US
Practice Address - Phone:304-820-1031
Practice Address - Fax:304-820-1033
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-18
Last Update Date:2023-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV23358207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty