INNOVATION CARDIOLOGY GROUP, LLC – NPI #1104464577
Internal Medicine

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.

Health Care Provider Taxonomy Code for Internal Medicine

INNOVATION CARDIOLOGY GROUP, LLC is a provider located in NORFOLK, VA. NPPES has assigned the NPI number 1104464577 to INNOVATION CARDIOLOGY GROUP, LLC on December 17, 2019. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “INNOVATION CARDIOLOGY GROUP, LLC” is a dba name, the actual legal business name for this organization is INNOVATION CARDIOLOGY GROUP LLC. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 6 years ago on May 29, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for INNOVATION CARDIOLOGY GROUP, LLC below.

NPI Profile for
INNOVATION CARDIOLOGY GROUP LLC

NPI Number
1104464577
Enumeration Date

(more than 6 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
INNOVATION CARDIOLOGY GROUP LLC
Doing Business As (dba): INNOVATION CARDIOLOGY GROUP, LLC
Primary location
400 GRESHAM DR STE 100
NORFOLK, VA 23507-1901
Phone: (757) 201-9571 Fax: (757) 663-5662
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
MOHIT BHASIN
PROVIDER
Phone: (757) 201-9571
Updated
Certification Date
May 29, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.