NPI | 1861493199 |
---|---|
Former Legal Business Name | EASTSIDE CARDIOLOGY PC |
Entity Type | Organization |
Authorized Contact | VAMSHIDHAR D GUDUGUNTIA President/Eastside Cardiovascular M 586-775-4594 |
Organization Subpart ? | No |
Primary Taxonomy | 207RC0000X Internal Medicine Cardiovascular Disease |
Additional Taxonomies | 207RI0011X Internal Medicine Interventional Cardiology |
Enumeration Date | 2005-08-09 |
Last Update Date | 2022-07-21 |