Provider Demographics
NPI:1881454312
Name:RUDHIRA HEART AND VASCULAR INSTITUTE PLLC
Entity type:Organization
Organization Name:RUDHIRA HEART AND VASCULAR INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:SWARNALATHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KANNEGANTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:409-658-7840
Mailing Address - Street 1:2000 S MCCOLL RD STE B
Mailing Address - Street 2:
Mailing Address - City:MCALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:78503-1516
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1900 S JACKSON RD STE 3
Practice Address - Street 2:
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78503-1589
Practice Address - Country:US
Practice Address - Phone:956-540-7030
Practice Address - Fax:956-322-5225
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-21
Last Update Date:2024-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty