OrganizationActive
Cardiac Renal & Vascular Associates PC
NPI 1649555467 · Interventional Cardiology Physician · Jackson, MS
Provider details
- NPI number
- 1649555467
- Entity type
- Organization
- Primary specialty
- Interventional Cardiology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Olurotimi Badero, Registered Agent(601) 750-5736
- License
- 21527 (MS)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
5240 Robinson Road Ext
Jackson, MS 39204-4276
Phone: (601) 398-0904
Fax: (601) 398-2149
Approximate (ZIP-level) locationGet directions
Mailing address
5240 Robinson Road Ext
Jackson, MS 39204-4276
Registry dates
- Enumerated
- 2011-10-12
- Last updated
- 2013-12-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.