Provider Demographics
NPI:1912694845
Name:ADVANCED CARDIOVASCULAR LLC
Entity Type:Organization
Organization Name:ADVANCED CARDIOVASCULAR LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ABDULGHANI
Authorized Official - Middle Name:A
Authorized Official - Last Name:SAADI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:410-428-0643
Mailing Address - Street 1:235 APOLLO BEACH BLVD # 153
Mailing Address - Street 2:
Mailing Address - City:APOLLO BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33572-2251
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:3007 MANATEE AVE W
Practice Address - Street 2:
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34205-4240
Practice Address - Country:US
Practice Address - Phone:410-428-0643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-04-20
Last Update Date:2023-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty