| Cardinal Healthcare Pllc | |
|
1179 T J Jackson Dr Suite A Falling Waters WV 25419-4698 | |
| (304) 820-1031 | |
| (304) 820-1033 |
| Full Name | Cardinal Healthcare Pllc |
|---|---|
| Speciality | Family Medicine |
| Location | 1179 T J Jackson Dr, Falling Waters, West Virginia |
| Authorized Official Name and Position | Vineet K Sood (OWNER) |
| Authorized Official Contact | 3048201031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cardinal Healthcare Pllc 1179 T J Jackson Dr Suite A Falling Waters WV 25419-4698 Ph: (304) 820-1031 | Cardinal Healthcare Pllc 1179 T J Jackson Dr Suite A Falling Waters WV 25419-4698 Ph: (304) 820-1031 |
| NPI Number | 1316377005 |
|---|---|
| Provider Enumeration Date | 11/18/2013 |
| Last Update Date | 01/17/2023 |
| Medicare PECOS PAC ID | 2264661313 |
|---|---|
| Medicare Enrollment ID | O20140212001231 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316377005 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 23358 (West Virginia) | Primary |
| Provider Name | Vineet Kumar Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1285810242 PECOS PAC ID: 1254496920 Enrollment ID: I20090212000091 |
| Provider Name | Devika H Sood |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1528239696 PECOS PAC ID: 8224194147 Enrollment ID: I20090302000357 |