Provider Demographics
NPI:1447635834
Name:ASHCHI HEART & VASCULAR CENTER PA
Entity type:Organization
Organization Name:ASHCHI HEART & VASCULAR CENTER PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARDIOLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:MAJDI
Authorized Official - Middle Name:
Authorized Official - Last Name:ASHCHI
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:904-400-3988
Mailing Address - Street 1:3900 UNIVERSITY BLVD S
Mailing Address - Street 2:SUITE A
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32216-4331
Mailing Address - Country:US
Mailing Address - Phone:904-222-6656
Mailing Address - Fax:904-222-6657
Practice Address - Street 1:3900 UNIVERSITY BLVD S
Practice Address - Street 2:SUITE A
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32216-4331
Practice Address - Country:US
Practice Address - Phone:904-222-6656
Practice Address - Fax:904-222-6657
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-27
Last Update Date:2016-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Multi-Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No2084S0012XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologySleep MedicineGroup - Multi-Specialty