Provider Demographics
NPI:1730790148
Name:EPIC HEART HEALTH
Entity type:Organization
Organization Name:EPIC HEART HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SENTHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:NACHIMUTHU
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:405-604-6700
Mailing Address - Street 1:1211 N SHARTEL AVE STE 1005
Mailing Address - Street 2:
Mailing Address - City:OKLAHOMA CITY
Mailing Address - State:OK
Mailing Address - Zip Code:73103-2433
Mailing Address - Country:US
Mailing Address - Phone:405-604-6700
Mailing Address - Fax:405-604-6728
Practice Address - Street 1:1211 N SHARTEL AVE STE 1005
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73103-2433
Practice Address - Country:US
Practice Address - Phone:405-604-6700
Practice Address - Fax:405-604-6728
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-11
Last Update Date:2020-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty