INNOVATION CARDIOLOGY GROUP, LLC
NPI 1104464577
Internal Medicine - Cardiovascular Disease in Norfolk, VA

Active since December 17, 2019
400 GRESHAM DR STE 100, NORFOLK, VA 23507(757) 201-9571(757) 663-5662 Get Directions Write a Review

NPPES record last updated: May 29, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: May 29, 2020, Dec 17, 2019 (2 updates tracked since 2019).

About Innovation Cardiology Group, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNOVATION CARDIOLOGY GROUP, LLC (NPI 1104464577) is a healthcare organization registered as a cardiovascular disease in Norfolk, Virginia and active in the NPI registry since December 2019. The organization lists Mohit Bhasin, Provider, as its authorized official.

NPPES Registry Identity

NPI1104464577
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameINNOVATION CARDIOLOGY GROUP LLC
Location Address400 GRESHAM DR STE 100Norfolk, VA 23507-1901
Mailing Address400 Gresham Dr Ste 100Norfolk, VA 23507-1901 · (757) 201-9571 · Fax (757) 663-5662
Fax(757) 663-5662
Organization SubpartNo
Authorized OfficialMohit BhasinProvider · (757) 201-9571
Enumeration DateDecember 17, 2019
Last NPPES UpdateMay 29, 20202 updates tracked since enumeration
NPPES CertifiedMay 29, 2020
NPI 1104464577 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
Definition
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
400 GRESHAM DR STE 100, Norfolk, VA 23507

Other Names 1

Doing Business AsInnovation Cardiology Group, Llc

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Innovation Cardiology Group LLC's NPI number?

The NPI number for Innovation Cardiology Group LLC is 1104464577. It was assigned to this organization in the NPPES registry on December 17, 2019. The provider is doing business as Innovation Cardiology Group, LLC.

Where is Innovation Cardiology Group LLC located?

Innovation Cardiology Group LLC is located at 400 Gresham Dr Ste 100, Norfolk, VA 23507. The listed phone number is (757) 201-9571.

What is Innovation Cardiology Group LLC's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.

When was this NPI record last updated?

The NPPES record for Innovation Cardiology Group LLC was last updated on May 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.