GULF SOUTH HEART & VASCULAR INSTITUTE, PLLC
NPI 1811124308
Internal Medicine - Cardiovascular Disease in Gulfport, MS

Active since June 11, 2009
4507 15TH ST, GULFPORT, MS 39501(228) 863-9999(228) 863-9955 Get Directions Write a Review

NPPES record last updated: June 11, 2009. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gulf South Heart & Vascular Institute, Pllc NPPES

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

GULF SOUTH HEART & VASCULAR INSTITUTE, PLLC (NPI 1811124308) is a healthcare organization registered as a cardiovascular disease in Gulfport, Mississippi and active in the NPI registry since June 2009. The organization lists Cyril V.k. Bethala, Owner, as its authorized official.

NPPES Registry Identity

NPI1811124308
Entity TypeOrganization
Primary Taxonomy207RC0000X
Legal Business NameGULF SOUTH HEART & VASCULAR INSTITUTE, PLLC
Location Address4507 15TH STGulfport, MS 39501-2500
Mailing Address4507 15th StGulfport, MS 39501-2500 · (228) 863-9999 · Fax (228) 863-9955
Fax(228) 863-9955
Organization SubpartNo
Authorized OfficialCyril V.k. BethalaOwner · (228) 863-9999
Enumeration DateJune 11, 2009
NPI 1811124308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyInternal Medicine · Cardiovascular DiseaseAllopathic & Osteopathic Physicians
Taxonomy Code207RC0000X
License Licensed in MS · 16691
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.

4507 15TH ST, Gulfport, MS 39501

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

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine (Cardiovascular Disease)
4507 15TH ST
GULFPORT, MS 39501
Internal Medicine (Cardiovascular Disease)
4507 15TH ST
GULFPORT, MS 39501

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 Gulf South Heart & Vascular Institute, PLLC's NPI number?

The NPI number for Gulf South Heart & Vascular Institute, PLLC is 1811124308. It was assigned to this organization in the NPPES registry on June 11, 2009.

Where is Gulf South Heart & Vascular Institute, PLLC located?

Gulf South Heart & Vascular Institute, PLLC is located at 4507 15th St, Gulfport, MS 39501. The listed phone number is (228) 863-9999.

What is Gulf South Heart & Vascular Institute, PLLC'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 Gulf South Heart & Vascular Institute, PLLC was last updated on June 11, 2009. NPI Profile syncs with the weekly NPPES data releases published by CMS.