Organization Active NPI

Gallup Cardiology PC

  • Cardiovascular Disease Physician
  • Gallup, NM
National Provider Identifier
1790919801
Registry record updated May 5, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
98-177 Issued in NM
Legal business name
GALLUP CARDIOLOGY PC
Practice address
2028 E Aztec Ave
Gallup, NM 87301-4804
Phone
(505) 863-2208
Fax
(505) 863-2236
NPI assigned
May 5, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2009

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

Authorized official

Name
Anandan Swaminathan, MD
Title
Owner
Phone
(505) 979-0560

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RC0000X 98-177 NM Primary

Addresses

Primary practice location

2028 E Aztec Ave
Gallup, NM 87301-4804

Mailing address

2028 E Aztec Ave
Gallup, NM 87301-4804
Phone (505) 863-2208

National Provider Directory

National Provider Directory

Locations

2028 E Aztec Ave
Gallup, NM 87301
Phone (505) 240-8759

NPI Registry JSON

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

{
    "created_epoch": "1241481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241481600000",
    "number": "1790919801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2028 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014804",
            "telephone_number": "505-863-2208",
            "fax_number": "505-863-2236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2028 E AZTEC AVE",
            "city": "GALLUP",
            "state": "NM",
            "postal_code": "873014804",
            "telephone_number": "505-863-2208",
            "fax_number": "505-863-2236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GALLUP CARDIOLOGY PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-05",
        "last_updated": "2009-05-05",
        "status": "A",
        "authorized_official_last_name": "SWAMINATHAN",
        "authorized_official_first_name": "ANANDAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "505-979-0560",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NM",
            "license": "98-177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gallup, NM

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2009; 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.