Provider Demographics
NPI:1477845659
Name:HEART ASSOCIATE OF HILTON HEAD PC
Entity Type:Organization
Organization Name:HEART ASSOCIATE OF HILTON HEAD PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RAVINA
Authorized Official - Middle Name:
Authorized Official - Last Name:BALCHANDANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:631-255-3617
Mailing Address - Street 1:40 OKATIE BOULEVARD
Mailing Address - Street 2:SUITE 100-1
Mailing Address - City:OKATIE
Mailing Address - State:SC
Mailing Address - Zip Code:29909
Mailing Address - Country:US
Mailing Address - Phone:843-682-4673
Mailing Address - Fax:877-599-0017
Practice Address - Street 1:40 OKATIE BOULEVARD
Practice Address - Street 2:SUITE 100-1
Practice Address - City:OKATIE
Practice Address - State:SC
Practice Address - Zip Code:29909
Practice Address - Country:US
Practice Address - Phone:843-682-4673
Practice Address - Fax:877-599-0017
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-06
Last Update Date:2011-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty
No207UN0901XAllopathic & Osteopathic PhysiciansNuclear MedicineNuclear CardiologyGroup - Single Specialty