Provider Demographics
NPI:1255340766
Name:HEART CARE ASSOCIATES P C
Entity type:Organization
Organization Name:HEART CARE ASSOCIATES P C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMLESH
Authorized Official - Middle Name:N
Authorized Official - Last Name:DAVE
Authorized Official - Suffix:
Authorized Official - Credentials:MD,FACC
Authorized Official - Phone:804-541-3800
Mailing Address - Street 1:5303 PLAZA DR
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HOPEWELL
Mailing Address - State:VA
Mailing Address - Zip Code:23860-7331
Mailing Address - Country:US
Mailing Address - Phone:804-541-3800
Mailing Address - Fax:804-541-3817
Practice Address - Street 1:5303 PLAZA DR
Practice Address - Street 2:SUITE 102
Practice Address - City:HOPEWELL
Practice Address - State:VA
Practice Address - Zip Code:23860-7331
Practice Address - Country:US
Practice Address - Phone:804-541-3800
Practice Address - Fax:804-541-3817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-05
Last Update Date:2011-03-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAC08277Medicare ID - Type UnspecifiedGROUP NUMBER