| NPI | 1104464577 |
|---|---|
| Doing Business As | INNOVATION CARDIOLOGY GROUP, LLC |
| Entity Type | Organization |
| Authorized Contact | MOHIT BHASIN Provider 757-201-9571 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2019-12-17 |
| Last Update Date | 2020-05-29 |