Cardiovascular & Thoracic Surgery
Organization Active NPI Specialist · Pascagoula, MS
NPI 1376744920 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376744920
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Specialist 174400000X
- License
- 16903 (MS)
- Legal business name
- CARDIOVASCULAR & THORACIC SURGERY
- Practice address
- 4211 Hospital St
Suite302
Pascagoula, MS 39581-5320 - Phone
- (228) 769-2550
- Fax
- (228) 769-2602
- NPI assigned
- May 30, 2007
- Organization subpart
- No
Authorized official
- Name
- Dr. Hazem Barmada, M.D.
- Title
- Dr
- Phone
- (228) 769-2550
National Provider Directory
Locations
4211 Hospital St
Ste 302
Pascagoula, MS 39581
Phone (228) 769-2550
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist |
174400000X | 16903 | MS | Yes |
Addresses
Primary practice location
4211 Hospital St
Suite302
Pascagoula, MS 39581-5320
Mailing address
4211 Hospital St
Suite302
Pascagoula, MS 39581-5320
Phone (228) 769-2550
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 09015766 | Medicaid | MS |
Other providers in Pascagoula, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.