Provider Demographics
NPI:1750337085
Name:THE CARDIOVASCULAR CLINICS, PC
Entity type:Organization
Organization Name:THE CARDIOVASCULAR CLINICS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:OSITA
Authorized Official - Middle Name:A
Authorized Official - Last Name:ONYEKWERE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:256-237-0025
Mailing Address - Street 1:1131 LEIGHTON AVE
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36207-4610
Mailing Address - Country:US
Mailing Address - Phone:256-237-0025
Mailing Address - Fax:256-237-4795
Practice Address - Street 1:1131 LEIGHTON AVE
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4610
Practice Address - Country:US
Practice Address - Phone:256-237-0025
Practice Address - Fax:256-237-4795
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2013-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
ALF21813Medicare UPIN
ALG08585Medicare UPIN
ALH10439Medicare UPIN
ALG65584Medicare UPIN