NPI 1053152652 · live from the CMS NPI Registry
Delaware Heart And Vascular Group LLC
Internal Medicine, Cardiovascular Disease in Newark, DE. National Provider Identifier 1053152652, active.
NPI record
| NPI | 1053152652 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Internal Medicine, Cardiovascular Disease 207RC0000X |
| Practice location | 94a Omega Dr, Newark, DE 19713 |
| Practice phone | 302-550-3484 |
| Enumerated | June 5, 2024 |
| Last updated | October 10, 2025 |
| Authorized official | Antony Innasimuthu, Physician |
| Other names | Delaware Heart And Vascular Group LLC |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nuclear Medicine, Nuclear Cardiology | 207UN0901X | — |
| Internal Medicine, Interventional Cardiology | 207RI0011X | — |
| Internal Medicine, Cardiovascular Disease primary | 207RC0000X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.