| Organization Name: | MOUNTAIN HEART CENTER, PSC |
| NPI Number: | 1104831775 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PADUBIDRI S CHANDRASHEKAR (PRESIDENT CEO) |
| Mailing Address: | 714 Jenkins Rd Box 767 Whitesburg |
| State: | KY US |
| Postal Code: | 418587189 |
| Phone Number: | 6066335520 |
| Fax Number: | 6066320329 |
| NPI Enumeration Date: | 07/30/2006 |
| NPI Last Update Date: | 05/12/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 207RC0000X |
| License Number: | KY29202 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | KY |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | Internal Medicine |
| Taxonomy Specialization: | Cardiovascular Disease |
| Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |