Jetty Heart Clinic in Anderson - Cardiovascular Disease
Jetty Heart Clinic - NPI 1205013653
Jetty Heart Clinic is a Cardiovascular Disease in Anderson, Indiana. Jetty Heart Clinic practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Jetty Heart Clinic is 1205013653. The last update date is 2008-10-23.
Jetty Heart Clinic's current location address is 1210 B Medical Arts Boulevard, Anderson, Indiana. You can contact this provider via phone number 7652984422 and fax number 7652984926. The mailing address for Jetty Heart Clinic is 1210 B Medical Arts Boulevard, Anderson, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jetty Heart Clinic |
|---|---|
| Address | 1210 B Medical Arts Boulevard, Anderson, Indiana |
| Phone Number | 7652984422 |
| Fax Number | 7652984926 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Jetty Preetham |
| Credentials | MD |
| Telephone Number | 7652984422 |
NPI Number Detail
| NPI Number | 1205013653 |
|---|---|
| Provider Enumeration Date | 2008-01-29 |
| Last Updated Date | 2008-10-23 |
Provider Mailing Address Detail
| Address | 1210 B Medical Arts Boulevard |
|---|---|
| City | Anderson |
| State | Indiana (IN) |
| Post Code | 460113439 |
| Phone Number | 7652984422 |
| Fax Number | 7652984926 |
Provider's Primary Taxonomy Detail
| Speciality | Cardiovascular Disease |
|---|---|
| Taxonomy | 207Rc0000X |
| Licence No | 01040154A |
|
Definition: An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 200886890 | IN | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Jetty Heart Clinic by the Centers for Medicare & Medicaid Services?
The Jetty Heart Clinic has been assigned the NPI (National Provider Identifier) 1205013653. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Jetty Heart Clinic's facilities are geographically located?
The facilities of Jetty Heart Clinic are physically situated at the following location: 1210 B Medical Arts Boulevard, Anderson, IN, 460113439.
What is Jetty Heart Clinic's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Jetty Heart Clinic is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.
When was the Jetty Heart Clinic's 1205013653 issued?
The Jetty Heart Clinic's 1205013653 was issued on 2008-01-29.
As of what date was the information pertaining to Jetty Heart Clinic, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jetty Heart Clinic, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-10-23.