Provider Demographics
NPI:1538591409
Name:CHANGING HEARTS, INC
Entity type:Organization
Organization Name:CHANGING HEARTS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:ARTHUR
Authorized Official - Middle Name:NS
Authorized Official - Last Name:MCUNU
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:301-832-6881
Mailing Address - Street 1:1160 VARNUM ST NE STE 212
Mailing Address - Street 2:DEPAUL PROFESSIONAL BLDG
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20017-2106
Mailing Address - Country:US
Mailing Address - Phone:202-733-4971
Mailing Address - Fax:202-733-4973
Practice Address - Street 1:1160 VARNUM ST NE STE 212
Practice Address - Street 2:DEPAUL PROFESSIONAL BLDG
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20017-2106
Practice Address - Country:US
Practice Address - Phone:202-733-4971
Practice Address - Fax:202-733-4973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-02
Last Update Date:2013-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCMD037581208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty