Provider Demographics
NPI:1013302132
Name:CARDIOVASCULAR CLINIC OF COVINGTON, LLC
Entity type:Organization
Organization Name:CARDIOVASCULAR CLINIC OF COVINGTON, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:
Authorized Official - Last Name:KAHN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:985-273-3035
Mailing Address - Street 1:100 INNWOOD DR
Mailing Address - Street 2:
Mailing Address - City:COVINGTON
Mailing Address - State:LA
Mailing Address - Zip Code:70433-9254
Mailing Address - Country:US
Mailing Address - Phone:985-273-3035
Mailing Address - Fax:985-273-3036
Practice Address - Street 1:100 INNWOOD DR
Practice Address - Street 2:
Practice Address - City:COVINGTON
Practice Address - State:LA
Practice Address - Zip Code:70433-9254
Practice Address - Country:US
Practice Address - Phone:985-273-3035
Practice Address - Fax:985-273-3036
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-06
Last Update Date:2025-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty