Provider Demographics
NPI:1447430863
Name:CARDIOVASCULAR ASSOCIATES PC
Entity Type:Organization
Organization Name:CARDIOVASCULAR ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:NAWAZ
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:765-662-8180
Mailing Address - Street 1:330 N WABASH AVE STE 310
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IN
Mailing Address - Zip Code:46952-2691
Mailing Address - Country:US
Mailing Address - Phone:765-662-8180
Mailing Address - Fax:765-662-8184
Practice Address - Street 1:330 N WABASH AVE STE 310
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IN
Practice Address - Zip Code:46952-2691
Practice Address - Country:US
Practice Address - Phone:765-662-8180
Practice Address - Fax:765-662-8184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-11-14
Last Update Date:2008-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN01062976A207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty