Source Cardiology

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

243823 Issued in NY

Legal business name

SOURCE CARDIOLOGY

Practice address

953 Southern Blvd
Suite 202
Bronx, NY 10459-3428

Phone

(646) 355-4863

Fax

(917) 688-1502

NPI assigned

Oct 2, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Madhavi Kadiyala

Title

Cardiologist

Phone

(646) 355-4863

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1346591278",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "SUITE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "646-355-4863",
            "fax_number": "917-688-1502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "953 SOUTHERN BLVD",
            "address_2": "SUITE 202",
            "city": "BRONX",
            "state": "NY",
            "postal_code": "104593428",
            "telephone_number": "646-355-4863",
            "fax_number": "917-688-1502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOURCE CARDIOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "KADIYALA",
        "authorized_official_first_name": "MADHAVI",
        "authorized_official_title_or_position": "CARDIOLOGIST",
        "authorized_official_telephone_number": "646-355-4863",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NY",
            "license": "243823",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NFN Soumya, MD
• Sound Health Medical PC
• Sound View Throgs Neck
• Soundview Drugs Inc
• Soundview Medical Physician PC
• Annette Souroujon, MA
• Alexi Sousa
• South Bronx Cardiology,P.C.
• South Bronx Chiropractic PC
• South Bronx Concerned Citizens, Inc.

• Cardiovascular Disease Physician in Bronx, NY
• Providers in Bronx, NY by specialty
• Cardiovascular Disease Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.