Provider Demographics
NPI:1568599652
Name:CARDIOVASCULAR HEALTH PLLC
Entity Type:Organization
Organization Name:CARDIOVASCULAR HEALTH PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VASUDEV
Authorized Official - Middle Name:G
Authorized Official - Last Name:ANANTHRAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:757-259-9540
Mailing Address - Street 1:117 BULIFANTS BLVD
Mailing Address - Street 2:SUITE B
Mailing Address - City:WILLIAMSBURG
Mailing Address - State:VA
Mailing Address - Zip Code:23188-5712
Mailing Address - Country:US
Mailing Address - Phone:757-259-9540
Mailing Address - Fax:757-259-9547
Practice Address - Street 1:117 BULIFANTS BLVD
Practice Address - Street 2:SUITE B
Practice Address - City:WILLIAMSBURG
Practice Address - State:VA
Practice Address - Zip Code:23188-5712
Practice Address - Country:US
Practice Address - Phone:757-259-9540
Practice Address - Fax:757-259-9547
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-27
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101232846207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty