Provider Demographics
NPI:1518381375
Name:CARDIOVASCULAR INTERVENTIONAL ASSOCIATES LLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR INTERVENTIONAL ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MOUHANAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FREIH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:586-362-5669
Mailing Address - Street 1:16392 COASTAL HWY
Mailing Address - Street 2:
Mailing Address - City:LEWES
Mailing Address - State:DE
Mailing Address - Zip Code:19958-3611
Mailing Address - Country:US
Mailing Address - Phone:302-703-9743
Mailing Address - Fax:844-373-4463
Practice Address - Street 1:16392 COASTAL HWY # 1
Practice Address - Street 2:
Practice Address - City:LEWES
Practice Address - State:DE
Practice Address - Zip Code:19958-3611
Practice Address - Country:US
Practice Address - Phone:302-703-9743
Practice Address - Fax:844-373-4463
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-02-13
Last Update Date:2019-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty