Provider Demographics
NPI:1376610584
Name:MARTINSVILLE CARDIOVASCULAR CENTER, P.C
Entity Type:Organization
Organization Name:MARTINSVILLE CARDIOVASCULAR CENTER, P.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DINESH
Authorized Official - Middle Name:K
Authorized Official - Last Name:BHATT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:276-634-5200
Mailing Address - Street 1:PO BOX 965
Mailing Address - Street 2:
Mailing Address - City:MEDFORD
Mailing Address - State:NJ
Mailing Address - Zip Code:08055-0965
Mailing Address - Country:US
Mailing Address - Phone:276-634-5200
Mailing Address - Fax:276-634-5201
Practice Address - Street 1:287 COMMONWEALTH BLVD W
Practice Address - Street 2:
Practice Address - City:MARTINSVILLE
Practice Address - State:VA
Practice Address - Zip Code:24112-1820
Practice Address - Country:US
Practice Address - Phone:276-634-5200
Practice Address - Fax:276-634-5201
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-30
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC03496Medicare PIN
VAF40247Medicare UPIN