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MID-AMERICA HEART AND VASCULAR, LLC
NPI 1205476223
Internal Medicine - Cardiovascular Disease in Festus, MO

Active since January 07, 2020
1439 US HIGHWAY 61 STE A, FESTUS, MO 63028(636) 931-7101 Get Directions Write a Review

NPPES record last updated: January 16, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 16, 2020, Jan 7, 2020 (2 updates tracked since 2020).

About Mid-america Heart And Vascular, Llc NPPES

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

MID-AMERICA HEART AND VASCULAR, LLC (NPI 1205476223) is a healthcare organization registered as a cardiovascular disease in Festus, Missouri and active in the NPI registry since January 2020. The organization maintains a secondary practice location in Farmington and lists Azamuddin Khaja, Physician, as its authorized official.

NPPES Registry Identity

NPI1205476223
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameMID-AMERICA HEART AND VASCULAR, LLC
Location Address1439 US HIGHWAY 61 STE AFestus, MO 63028-4154
Mailing Address1439 Us Highway 61 Ste AFestus, MO 63028-4154 · (636) 931-7101
Phone(636) 931-7101
Organization SubpartNo
Authorized OfficialAzamuddin KhajaPhysician · (636) 931-7101
Enumeration DateJanuary 7, 2020
Last NPPES UpdateJanuary 16, 20202 updates tracked since enumeration
✔ NPI 1205476223 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.
1439 US HIGHWAY 61 STE A, Festus, MO 63028
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Secondary Practice Location 1

Location 1513 W Pine StFarmington, MO 63640-1439 · Phone (573) 701-0090

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 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 Mid-America Heart And Vascular, LLC's NPI number?

The NPI number for Mid-America Heart And Vascular, LLC is 1205476223. It was assigned to this organization in the NPPES registry on January 7, 2020.

Where is Mid-America Heart And Vascular, LLC located?

Mid-America Heart And Vascular, LLC is located at 1439 Us Highway 61 Ste A, Festus, MO 63028. The listed phone number is (636) 931-7101.

What is Mid-America Heart And Vascular, 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 Mid-America Heart And Vascular, LLC was last updated on January 16, 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.