Provider Demographics
NPI:1871771568
Name:HEART & VASCULAR INSTITUTE OF WINCHESTER LLC
Entity type:Organization
Organization Name:HEART & VASCULAR INSTITUTE OF WINCHESTER LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:BASABI
Authorized Official - Middle Name:
Authorized Official - Last Name:VIRMANI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:540-535-0000
Mailing Address - Street 1:650 CEDAR CREEK GRADE
Mailing Address - Street 2:SUITE 100
Mailing Address - City:WINCHESTER
Mailing Address - State:VA
Mailing Address - Zip Code:22601-6452
Mailing Address - Country:US
Mailing Address - Phone:540-535-0000
Mailing Address - Fax:540-535-0032
Practice Address - Street 1:650 CEDAR CREEK GRADE
Practice Address - Street 2:SUITE 100
Practice Address - City:WINCHESTER
Practice Address - State:VA
Practice Address - Zip Code:22601-6452
Practice Address - Country:US
Practice Address - Phone:540-535-0000
Practice Address - Fax:540-535-0032
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HEART & VASCULAR INSTITUTE OF WINCHESTER LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-02-05
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101048879174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty