Delaware Cardiovascular Associates, P.a.
Organization Active NPI Cardiovascular Disease Physician · Wilmington, DE
NPI 1073567418 · NPPES record last updated Mar 25, 2014
Key facts
- NPI
- 1073567418
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- DELAWARE CARDIOVASCULAR ASSOCIATES, P.A.
- Practice address
- 1403 Foulk Rd
Suite 101
Wilmington, DE 19803-2788 - Phone
- (302) 661-7676
- Fax
- (302) 661-1050
- NPI assigned
- May 20, 2006
- Organization subpart
- No
Authorized official
- Name
- Shraven Pakanati
- Title
- Practice Manager
- Phone
- (302) 661-1661
Practitioners 29
-
Deborah Dougherty, CRNP
-
Khaled M El Jazzar, M.D.
-
Alice E Hopple, MSN, FNP-BC
-
Nicholas J Mandalakas, M.D.
-
Rajinder Prasad, M.D.
-
Ehtasham A. Qureshi, M.D.
-
Wasif A Qureshi, M.D.
-
Gurmeet Singh, M.D.
-
Nina Mary Varughese, NURSE PRACTITIONER
-
Yuanyuan Zhang, M.D.
-
Mark Zweben, M.D.
-
Steven Back, M.D., PH.D.
-
Ira Sackman, M.D.
-
Vinneta Shorter, NP
-
Markeda Cotton, FNP-BC
-
Gene Robert Myers, M.D.
-
Grace Kelly, PA-C
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in DE, MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040318000662 | DE | Part B Supplier - Clinic/Group Practice | 6901796341 |
Receives reassigned benefits from 20 practitioners Practice locations: Wilmington, DE; Smyrna, DE; Ocean View, DE; Newark, DE; Milford, DE; Lewes, DE; Dover, DE; Bear, DE |
| O20140313001075 | MD | Part B Supplier - Clinic/Group Practice | 6901796341 |
Receives reassigned benefits from 5 practitioners Practice locations: Elkton, MD |
National Provider Directory
Locations
5936 Limestone Rd
Ste 202
Hockessin, DE 19707
Phone (302) 239-4500
34453 King Street Row
#2
Lewes, DE 19958
Phone (302) 644-7676
1539 Savannah Rd
Ste 201
Lewes, DE 19958
Phone (302) 644-7676
537 Stanton Christiana Rd
Ste 105
Newark, DE 19713
Phone (302) 993-7676
537 Stanton Christiana Rd
Ste 10
Newark, DE 19713
18598 Coastal Hwy
Ste A
Rehoboth Beach, DE 19971
Phone (302) 645-7672
1403 Foulk Rd
Ste 101
Wilmington, DE 19803
Phone (302) 661-7676
1403 Foulk Rd
Ste 101A
Wilmington, DE 19803
Phone (302) 661-7676
106 E Main St
Ste 108
Elkton, MD 21921
Phone (302) 366-5658
106 E Main St
#108
Elkton, MD 21921
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
1403 Foulk Rd
Suite 101
Wilmington, DE 19803-2788
Mailing address
1403 Foulk Rd
Suite 101a
Wilmington, DE 19803-2788
Phone (302) 661-1661
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 635578 | Other | DE | MEDICARE PTAN NUMBER |
Other providers in Wilmington, DE
- Delaware 4 the Seniors Homecare LLC
- Delaware Anesthesia Services Corp
- Delaware Auto and Work Injury Center
- Delaware Breast Care LLC
- Delaware Cardiology Care, LLC
- Delaware Center for Homeless Veterans
- Delaware Center for Justice Inc.
- Delaware Center for Pain Management, LLC
- Delaware Chiropractic at Trolley Square
- Delaware College Preparatory Academy
All providers in Wilmington, DE · Cardiovascular Disease Physician in Delaware
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 25, 2014. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.