Comprehensive Cardiovascular Care Center
Organization Active NPI Cardiovascular Disease Physician · Gulfport, MS
NPI 1902631708 · NPPES record last updated Sep 3, 2024
Key facts
- NPI
- 1902631708
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- Legal business name
- COMPREHENSIVE CARDIOVASCULAR CARE CENTER
- Practice address
- 4300B W Railroad St
Gulfport, MS 39501-2568 - Phone
- (228) 822-6722
- NPI assigned
- Sep 3, 2024
- Organization subpart
- No
Authorized official
- Name
- Dr. Shwan Jalal, MD
- Title
- MD/Co-Owner
- Phone
- (248) 346-2174
Practitioners 2
-
Umair Zafar Malik, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MS
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20250331001122 | MS | Part B Supplier - Clinic/Group Practice | 9032632161 |
Receives reassigned benefits from 2 practitioners Practice locations: Gulfport, MS |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | Yes |
Addresses
Primary practice location
4300B W Railroad St
Gulfport, MS 39501-2568
Mailing address
4300B W Railroad St
Gulfport, MS 39501-2568
Phone (228) 822-6722
Other providers in Gulfport, MS
- Comfort Care Transport LLC
- Community Rehab of Greenville Inc
- Community Wellness and Rehab, LLC
- Compass Imaging LLC
- Compassionate Caring Hands Inc.
- Compton Healthcare Inc
- Phillip D Compton II
- Sidonia Compton
- Monica Conley
- Connect Counseling LLC
All providers in Gulfport, MS · Cardiovascular Disease Physician in Mississippi
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 3, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.