Provider Demographics
NPI:1891725982
Name:VALLEY CARDIOVASCULAR ASSOCIATES INC
Entity Type:Organization
Organization Name:VALLEY CARDIOVASCULAR ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SILPA
Authorized Official - Middle Name:
Authorized Official - Last Name:AVULA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:408-993-8000
Mailing Address - Street 1:2081 FOREST AVE
Mailing Address - Street 2:SUITE 4
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95128
Mailing Address - Country:US
Mailing Address - Phone:408-993-8000
Mailing Address - Fax:408-993-8198
Practice Address - Street 1:2081 FOREST AVE
Practice Address - Street 2:SUITE 4
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128
Practice Address - Country:US
Practice Address - Phone:408-993-8000
Practice Address - Fax:408-993-8198
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-04
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA76357207R00000X
CA76357207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAH75071Medicare UPIN
ZZZ035972Medicare PIN