3C, P.C.

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036103632 Issued in IL

Legal business name

3C, P.C.

Doing business as

Comprehensive Cardiovascular Care

Practice address

2525 24TH St
Rock Island, IL 61201-5395

Phone

(309) 788-7522

NPI assigned

Feb 2, 2009

Last updated

Sep 13, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kumar Bobba, MD

Title

President

Phone

(309) 788-7522

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• COMPREHENSIVE CARDIOVASCULAR CARE Doing business as

Locations

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

{
    "created_epoch": "1233532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1347494400000",
    "number": "1295973030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2525 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015395",
            "telephone_number": "309-788-7522"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 24TH ST",
            "city": "ROCK ISLAND",
            "state": "IL",
            "postal_code": "612015395",
            "telephone_number": "309-788-7522"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3C, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-02-02",
        "last_updated": "2012-09-13",
        "status": "A",
        "authorized_official_last_name": "BOBBA",
        "authorized_official_first_name": "KUMAR",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "309-788-7522",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036103632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036103632",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "COMPREHENSIVE CARDIOVASCULAR CARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Cardiovascular Disease Physician in Rock Island, IL
• Providers in Rock Island, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2012; 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.