Provider Demographics
NPI:1437262888
Name:HEART CLINIC PA THE
Entity Type:Organization
Organization Name:HEART CLINIC PA THE
Other - Org Name:HEART CLINIC PA THE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CARDIOLOGIST/PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:NALINI
Authorized Official - Middle Name:G
Authorized Official - Last Name:PREMSINGH
Authorized Official - Suffix:
Authorized Official - Credentials:MD FACC
Authorized Official - Phone:913-596-2000
Mailing Address - Street 1:1601 MEADOWLARK LN STE B
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:KS
Mailing Address - Zip Code:66102-1284
Mailing Address - Country:US
Mailing Address - Phone:913-596-2000
Mailing Address - Fax:913-596-2458
Practice Address - Street 1:1601 MEADOWLARK LN STE B
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66102-1284
Practice Address - Country:US
Practice Address - Phone:913-596-2000
Practice Address - Fax:913-596-2458
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-17
Last Update Date:2010-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-16841174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS100093680BMedicaid
KS2026485702Medicaid
KS07659017OtherBLUE CROSS GROUP ID
KS05599049OtherBLUE CROSS OF KANSAS CITY
KS6940000Medicare PIN
KSC51944Medicare UPIN