Provider Demographics
NPI:1720039456
Name:OXFORD VALLEY CARDIOLOGY ASSOCIATES PC.
Entity Type:Organization
Organization Name:OXFORD VALLEY CARDIOLOGY ASSOCIATES PC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:RANGA
Authorized Official - Middle Name:A
Authorized Official - Last Name:RAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:215-750-6566
Mailing Address - Street 1:370 MIDDLETOWN BLVD
Mailing Address - Street 2:STE 510
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1840
Mailing Address - Country:US
Mailing Address - Phone:215-750-6566
Mailing Address - Fax:215-750-7288
Practice Address - Street 1:370 MIDDLETOWN BLVD
Practice Address - Street 2:STE 510
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1840
Practice Address - Country:US
Practice Address - Phone:215-750-6566
Practice Address - Fax:215-750-7288
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2008-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD021388E207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0014198870001Medicaid
PA117070Medicare ID - Type Unspecified