Provider Demographics
NPI:1831490796
Name:UMAKANTHAN CARDIOLOGY GROUP PLLC
Entity Type:Organization
Organization Name:UMAKANTHAN CARDIOLOGY GROUP PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:ERNESTO
Authorized Official - Middle Name:M
Authorized Official - Last Name:ALVARADO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:702-765-5788
Mailing Address - Street 1:98 E LAKE MEAD PKWY
Mailing Address - Street 2:SUITE # 305
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89015-5540
Mailing Address - Country:US
Mailing Address - Phone:702-765-5780
Mailing Address - Fax:702-565-4915
Practice Address - Street 1:98 E LAKE MEAD PKWY
Practice Address - Street 2:SUITE # 305
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89015-5540
Practice Address - Country:US
Practice Address - Phone:702-765-5780
Practice Address - Fax:702-565-4915
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-11-09
Last Update Date:2011-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVD01407207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty