Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Cardiac Renal & Vascular Associates PC

Organization Interventional Cardiology Physician · NPI 1649555467

Cardiac Renal & Vascular Associates PC is an Interventional Cardiology Physician in Jackson, Mississippi. Licensed in Mississippi. Registered with an NPI since 2011.

Licensed in
MS
In the registry since
2011
Specialties on file
2
What do these letters mean?
PC — Professional corporation
A form of business registration, not a clinical qualification.

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Practice location Address checks out

5240 Robinson Road Ext
Jackson, MS 39204-4276
Phone: (601) 398-0904
Fax: (601) 398-2149
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Interventional Cardiology Physician (primary) Taxonomy 207RI0011X · Licence 21527 (MS)
Nephrology Physician Taxonomy 207RN0300X · Licence 21527 (MS)

Record details

NPI number1649555467
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olurotimi Badero — Registered Agent · (601) 750-5736
NPI enumeratedOctober 12, 2011
Last updated in NPPESDecember 11, 2013
Mailing address5240 Robinson Road Ext, Jackson, MS 39204-4276

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