Provider Demographics
NPI:1972906766
Name:BELLEVUE HEART GROUP LLC
Entity Type:Organization
Organization Name:BELLEVUE HEART GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:DR
Authorized Official - First Name:HAMID
Authorized Official - Middle Name:
Authorized Official - Last Name:DELIRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-280-3569
Mailing Address - Street 1:1508 PENNSYLVANIA AVE STE 2A
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19806-4339
Mailing Address - Country:US
Mailing Address - Phone:302-468-4500
Mailing Address - Fax:
Practice Address - Street 1:1508 PENNSYLVANIA AVE STE 2A
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19806-4339
Practice Address - Country:US
Practice Address - Phone:302-468-4500
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-10-07
Last Update Date:2023-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty