Provider Demographics
NPI:1780716415
Name:ZAVARO CARDIOVASCULAR INSTITUTE, AMC
Entity type:Organization
Organization Name:ZAVARO CARDIOVASCULAR INSTITUTE, AMC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SUHAIL
Authorized Official - Middle Name:H
Authorized Official - Last Name:ZAVARO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:619-668-4700
Mailing Address - Street 1:300 S PIERCE ST
Mailing Address - Street 2:SUITE #102
Mailing Address - City:EL CAJON
Mailing Address - State:CA
Mailing Address - Zip Code:92020-4124
Mailing Address - Country:US
Mailing Address - Phone:619-668-4700
Mailing Address - Fax:619-668-0049
Practice Address - Street 1:300 SOUTH PIERCE STREET
Practice Address - Street 2:SUITE #102
Practice Address - City:EL CAJON
Practice Address - State:CA
Practice Address - Zip Code:92020-4124
Practice Address - Country:US
Practice Address - Phone:619-668-4700
Practice Address - Fax:619-668-0049
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-09
Last Update Date:2011-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA46162207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty