Omnivas Nwi

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

Legal business name

OMNIVAS NWI

Practice address

8127 Merrillville Rd Ste 1
Merrillville, IN 46410-6306

Phone

(260) 333-1805

Fax

(702) 991-7258

NPI assigned

Oct 17, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Chand Hoodbhoy

Title

Credentialer

Phone

(702) 858-7376

Specialties & licenses 2

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1539734400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539734400000",
    "number": "1174099147",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8127 MERRILLVILLE RD STE 1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106306",
            "telephone_number": "260-333-1805",
            "fax_number": "702-991-7258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8127 MERRILLVILLE RD STE 1",
            "city": "MERRILLVILLE",
            "state": "IN",
            "postal_code": "464106306",
            "telephone_number": "260-333-1805",
            "fax_number": "702-991-7258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OMNIVAS NWI",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-17",
        "last_updated": "2018-10-17",
        "status": "A",
        "authorized_official_last_name": "HOODBHOY",
        "authorized_official_first_name": "CHAND",
        "authorized_official_title_or_position": "CREDENTIALER",
        "authorized_official_telephone_number": "702-858-7376",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2085R0204X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Radiology, Vascular & Interventional Radiology",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Interventional Cardiology Physician in Merrillville, IN
• Providers in Merrillville, IN by specialty
• Interventional Cardiology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.