Provider Demographics
NPI:1649769357
Name:HEART & RHYTHM ASSOCIATES, PLLC
Entity Type:Organization
Organization Name:HEART & RHYTHM ASSOCIATES, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AMBR
Authorized Official - Prefix:DR
Authorized Official - First Name:HARI
Authorized Official - Middle Name:K
Authorized Official - Last Name:BADDIGAM
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FACC
Authorized Official - Phone:850-763-8776
Mailing Address - Street 1:2202 STATE AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:PANAMA CITY
Mailing Address - State:FL
Mailing Address - Zip Code:32405-4539
Mailing Address - Country:US
Mailing Address - Phone:850-763-8776
Mailing Address - Fax:
Practice Address - Street 1:2202 STATE AVE STE 104
Practice Address - Street 2:
Practice Address - City:PANAMA CITY
Practice Address - State:FL
Practice Address - Zip Code:32405-4539
Practice Address - Country:US
Practice Address - Phone:850-763-8776
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-05-08
Last Update Date:2018-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME85604207RC0000X, 207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
No207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty