Reza Heart & Vascular Institute LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

09458R Issued in LA

Legal business name

REZA HEART & VASCULAR INSTITUTE LLC

Practice address

1301 Barataria Blvd
Marrero, LA 70072-3703

Phone

(504) 347-8253

Fax

(504) 349-6283

NPI assigned

Dec 21, 2010

Organization subpart

No

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

Authorized official

Name

Ali H Reza, M.D.

Title

M.D./Owner

Phone

(504) 347-8253

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1292889600000",
    "number": "1487957015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723703",
            "telephone_number": "504-347-8253",
            "fax_number": "504-349-6283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 BARATARIA BLVD",
            "city": "MARRERO",
            "state": "LA",
            "postal_code": "700723703",
            "telephone_number": "504-347-8253",
            "fax_number": "504-349-6283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REZA HEART & VASCULAR INSTITUTE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2010-12-21",
        "status": "A",
        "authorized_official_last_name": "REZA",
        "authorized_official_first_name": "ALI",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "504-347-8253",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "LA",
            "license": "09458R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1973254",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Marrero, LA
• Providers in Marrero, LA by specialty
• Cardiovascular Disease Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2010; 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.