Provider Demographics
NPI:1407049919
Name:WESTCHASE CARDIOLOGY PA
Entity Type:Organization
Organization Name:WESTCHASE CARDIOLOGY PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SEYED TAHER
Authorized Official - Middle Name:
Authorized Official - Last Name:PARVIZI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-818-8999
Mailing Address - Street 1:2167 PINNACLE CIR N
Mailing Address - Street 2:
Mailing Address - City:PALM HARBOR
Mailing Address - State:FL
Mailing Address - Zip Code:34684-1769
Mailing Address - Country:US
Mailing Address - Phone:813-818-8999
Mailing Address - Fax:813-818-8910
Practice Address - Street 1:11373 COUNTRYWAY BLVD
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33626-2610
Practice Address - Country:US
Practice Address - Phone:813-818-8999
Practice Address - Fax:813-818-8910
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME 70467207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL2293718OtherAETNA
FL221069OtherWELLCARE
31875OtherBCBS
FL2293718OtherAETNA