Organization · Type 2 NPI

Innovation Cardiology Group LLC

Cardiovascular Disease Physician · Norfolk, VA

NPI number 1104464577 Active

Practice location

400 Gresham Dr Ste 100
Norfolk, VA 23507-1901

Fax (757) 663-5662

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed

Cardiovascular Disease Physician: 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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NPI record

NPI: 1104464577
Entity type: Organization (Type 2)
Issued: Dec 17, 2019
Last updated: May 29, 2020
Status: Active

Other names

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Innovation Cardiology Group, LLC · doing business as
Innovation Cardiology Group, LLC · doing business as

Authorized official

Dr. Mohit Bhasin, MD
Provider
(757) 201-9571

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About NPI 1104464577

Innovation Cardiology Group LLC's National Provider Identifier is 1104464577, issued on Dec 17, 2019. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Norfolk, VA. The record was last updated on May 29, 2020.