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

Gulf South Heart & Vascular Institute, PLLC

Organization Cardiovascular Disease Physician · NPI 1811124308

Gulf South Heart & Vascular Institute, PLLC is a Cardiovascular Disease Physician in Gulfport, Mississippi. Licensed in Mississippi. Registered with an NPI since 2009.

Licensed in
MS
In the registry since
2009
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4507 15th St
Gulfport, MS 39501-2500
Phone: (228) 863-9999
Fax: (228) 863-9955
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X · Licence 16691 (MS)

Record details

NPI number1811124308
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Cyril Bethala — Owner · (228) 863-9999
NPI enumeratedJune 11, 2009
Last updated in NPPESJune 11, 2009
Mailing address4507 15th St, Gulfport, MS 39501-2500

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