Minimally Invasive Care Institute of Philadelphia LLC
Minimally Invasive Care Institute of Philadelphia LLC is an Interventional Cardiology Physician in Philadelphia, Pennsylvania. Registered with an NPI since 2017.
- In the registry since
- 2017
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
4220 Market St Fl 2Philadelphia, PA 19104-3007
Phone: (215) 240-6007
Fax: (215) 240-6373
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Vascular & Interventional Radiology Physician (primary) | Taxonomy 2085R0204X |
|---|---|
| Interventional Cardiology Physician | Taxonomy 207RI0011X |
| Diagnostic Radiology Physician | Taxonomy 2085R0202X |
| Foot & Ankle Surgery Podiatrist | Taxonomy 213ES0103X |
| Ambulatory Surgical Clinic/Center | Taxonomy 261QA1903X |
| Acute Care Nurse Practitioner | Taxonomy 363LA2100X |
Record details
| NPI number | 1083144943 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | James McGuckin — Ceo · (215) 240-6007 |
| NPI enumerated | June 14, 2017 |
| Last updated in NPPES | May 19, 2021 |
| Certification date | May 19, 2021 |
| Mailing address | 4220 Market St Fl 2, Philadelphia, PA 19104-3007 |
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Dr. Khulkar Mirzozoda, MD, MBA
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Alan S Moak, MD
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Primary Health LLC
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Sara Jeanne Sirna, MD
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