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    Last Updated: 02/22/2026

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    MediFind found 182 doctor with experience in Heart Failure near Raleigh,, NC. Of these, 128 are Experienced, 48 are Advanced, 5 are Distinguished and 1 are Elite.

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    182 providers found
      Stuart D. Russell
      Elite in Heart Failure
      Advanced Heart Failure and Transplant Cardiology | Transplant Surgery
      Elite in Heart Failure
      Advanced Heart Failure and Transplant Cardiology | Transplant Surgery

      0

      3000 New Bern Ave, 
      Raleigh, NC 
       (2.8 miles away)
      Experience:
      35+ years
      Languages Spoken:
      English
      Offers Telehealth

      I specialize in the care of patients with general and advanced heart failure. I look at each patient individually, yet apply the most advanced therapies for everyone. I have a particular interest in understanding the causes of heart failure, especially related to pregnancy and chemotherapy. I am also involved in a number of research projects evaluating new possible therapies for patients with heart failure. Outside of work, I enjoy cycling and spending time cycling with my wife and three boys. Dr. Russell is rated as an Elite provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Heart Failure, Cardiomyopathy, Heart Failure with Preserved Ejection Fraction (HFpEF), Heart Transplant, and Tissue Biopsy.

      Distinguished in Heart Failure
      Advanced Heart Failure and Transplant Cardiology | Cardiology
      Distinguished in Heart Failure
      Advanced Heart Failure and Transplant Cardiology | Cardiology

      Wakemed Specialists Group LLC

      3000 New Bern Ave, 
      Raleigh, NC 
       (2.8 miles away)
      Languages Spoken:
      English, Hindi
      Accepting New Patients
      Offers Telehealth

      Kishan Parikh is an Advanced Heart Failure and Transplant Cardiologist and a Cardiologist in Raleigh, North Carolina. Dr. Parikh is rated as a Distinguished provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Pulmonary Hypertension, Pulmonary Veno-Occlusive Disease, Heart Failure, Hypertension, and Heart Transplant. Dr. Parikh is currently accepting new patients.

      Benjamin H. Trichon
      Distinguished in Heart Failure
      Advanced Heart Failure and Transplant Cardiology | Cardiology
      Distinguished in Heart Failure
      Advanced Heart Failure and Transplant Cardiology | Cardiology

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd, 
      Raleigh, NC 
       (3.5 miles away)
      Experience:
      35+ years
      Languages Spoken:
      English
      Offers Telehealth

      I am grateful for the opportunity to practice cardiology and to improve people's lives in truly meaningful ways. My clinical practice is focused on patients with advanced heart failure, pulmonary arterial hypertension and complex valvular disease. Modern medicine is complicated, and I strive to help patients and families understand their conditions and treatment options as completely as possible. I work with patients to develop an individualized treatment approach that best satisfies their goals of care. It is a privilege to practice at Duke. We have extensive resources, broad expertise, and access to novel treatment options to help patients improve their quality and quantity of life. Outside of work, I enjoy cycling, running, hiking and spending time with my family. Dr. Trichon is rated as a Distinguished provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Heart Failure, Pulmonary Edema, Pulmonary Hypertension, Pulmonary Veno-Occlusive Disease, and Cardiac Ablation.

      Learn about our expert tiers
      Advanced in Heart Failure
      Interventional Cardiology
      Advanced in Heart Failure
      Interventional Cardiology

      Office

      505 Oberlin Rd Ste 130, 
      Raleigh,, NC 
       (1.2 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Damien Marycz is an Interventional Cardiologist in Raleigh,, North Carolina. Dr. Marycz is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Heart Attack, Angina, Heart Failure, Angioplasty, and Heart Bypass Surgery.

      Advanced in Heart Failure
      Advanced in Heart Failure

      WakeMed Raleigh Campus

      3000 New Bern Ave, 
      Raleigh,, NC 
       (2.8 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Rajat Fofaria is a Cardiologist in Raleigh,, North Carolina. Dr. Fofaria is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Atrial Fibrillation, Pediatric Myocarditis, Heart Failure, Pulmonary Edema, and Pacemaker Implantation.

      Advanced in Heart Failure
      Advanced in Heart Failure

      WakeMed Raleigh Campus

      3000 New Bern Ave, 
      Raleigh, NC 
       (2.8 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Tapan Godiwala is a Cardiologist in Raleigh, North Carolina. Dr. Godiwala is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Low Blood Pressure, Catecholaminergic Polymorphic Ventricular Tachycardia, Ventricular Tachycardia, Cardiac Ablation, and Pacemaker Implantation.

      Advanced in Heart Failure
      Cardiology
      Advanced in Heart Failure
      Cardiology

      Carolina Cardiology Consultants PA

      3324 Six Forks Rd, 
      Raleigh,, NC 
       (3.2 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Padma Hari is a Cardiologist in Raleigh,, North Carolina. Dr. Hari is rated as an Advanced provider by MediFind in the treatment of Heart Failure. Her top areas of expertise are Mitral Valve Regurgitation, Heart Failure with Preserved Ejection Fraction (HFpEF), Pediatric Myocarditis, Pacemaker Implantation, and Cardiac Ablation.

      Advanced in Heart Failure
      Advanced in Heart Failure

      Carolina Cardiology Consultants PA

      3324 Six Forks Rd, 
      Raleigh, NC 
       (3.2 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Jeffrey Blackburn is a Cardiologist in Raleigh, North Carolina. Dr. Blackburn is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Atrial Fibrillation, Pediatric Myocarditis, Angina, Cardiac Ablation, and Pacemaker Implantation.

      Advanced in Heart Failure
      Advanced in Heart Failure

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd Ste 200, 
      Raleigh,, NC 
       (4.4 miles away)
      Languages Spoken:
      English

      James Peterson is a Cardiologist in Raleigh,, North Carolina. Dr. Peterson is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Heart Failure, Pulmonary Edema, Atherosclerosis, and Coronary Heart Disease.

      Experienced in Heart Failure
      Cardiology
      Experienced in Heart Failure
      Cardiology

      WakeMed Raleigh Campus

      3000 New Bern Ave, 
      Raleigh,, NC 
       (2.8 miles away)
      Languages Spoken:
      English

      John Kelley is a Cardiologist in Raleigh,, North Carolina. Dr. Kelley is rated as an Experienced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Apoplexy, Atrial Fibrillation, Arrhythmias, Angioplasty, and Atherectomy.

      Experienced in Heart Failure
      Cardiology
      Experienced in Heart Failure
      Cardiology

      Carolina Cardiology Consultants PA

      3324 Six Forks Rd, 
      Raleigh, NC 
       (3.2 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Peter Chan is a Cardiologist in Raleigh, North Carolina. Dr. Chan is rated as an Experienced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Heart Attack, Apoplexy, Arterial Embolism, Angioplasty, and Atherectomy.

      William J. Parsons
      Advanced in Heart Failure
      Cardiology | Thoracic Surgery
      Advanced in Heart Failure
      Cardiology | Thoracic Surgery

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd, 
      Raleigh, NC 
       (3.5 miles away)
      Experience:
      46+ years
      Languages Spoken:
      English
      Offers Telehealth

      I came to Duke for cardiology fellowship training in 1985. I have always enjoyed the central role of the heart in human health and helping people manage their heart and vascular disease. As a young Assistant Professor of Medicine at Duke more than 25 years ago, I had the privilege of working in cardiovascular basic science with some of Duke's finest academicians. I then joined the faculty at UTSW-Dallas. Shortly after my arrival in Dallas, my daughter Abby, at the age of 3, became ill with a brain tumor. At that point, I decided to leave academics and enter private practice. After 10 years, Abby's neurosurgeon in Dallas felt that she was cured, prompting us to return to the Triangle. For 14 years, I enjoyed practicing cardiology in Raleigh with Carolina Cardiology Consultants. Given the complexities of today's health care systems, I am pleased to return to Duke after a 24-year hiatus, where I believe the best care is available to my patients. I have a particular interest in cardiac imaging and vascular medicine. My wife Darlene and I have three grown children Emily, Abigail, and Will, and have lived in Raleigh since 2001. I enjoy traveling, usually in a car, with my wife and any other family members who will join us. Dr. Parsons is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Heart Failure with Preserved Ejection Fraction (HFpEF), Heart Failure, Pulmonary Edema, and Atherosclerosis.

      Experienced in Heart Failure
      Family Medicine
      Experienced in Heart Failure
      Family Medicine

      Family Medical Associates Of Raleigh (Allscripts)

      3500 Bush St, 
      Raleigh, NC 
       (3.7 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Josiah Carr is a primary care provider, practicing in Family Medicine in Raleigh, North Carolina. Dr. Carr is rated as an Experienced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Sitosterolemia, Glucocorticoid-Remediable Aldosteronism, Familial Hypertension, and Hypertension.

      Deepa C. Upadhyaya
      Advanced in Heart Failure
      Advanced in Heart Failure

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd Ste 200, 
      Raleigh, NC 
       (4.4 miles away)
      Experience:
      22+ years
      Languages Spoken:
      English, Gujarati , Hindi
      Offers Telehealth

      I practice general cardiology, women's heart health, and non-invasive imaging of the heart (echocardiography). The best part of being a cardiologist is the opportunity to educate my patients and their families, learn about their lives, and watch them improve over time. In my free time, I enjoy spending time with my family, cycling on many trails in the Triangle region, and exploring all that North Carolina has to offer. Dr. Upadhyaya is rated as an Advanced provider by MediFind in the treatment of Heart Failure. Her top areas of expertise are Mitral Valve Regurgitation, Catecholaminergic Polymorphic Ventricular Tachycardia, Ventricular Tachycardia, Pacemaker Implantation, and Cardiac Ablation.

      Advanced in Heart Failure
      Geriatrics
      Advanced in Heart Failure
      Geriatrics

      Laboratory Corporation Of America Holdings

      3521 Haworth Dr, 
      Raleigh, NC 
       (3.4 miles away)
      Languages Spoken:
      English
      Offers Telehealth

      Amish Patel is a primary care provider, practicing in Geriatrics in Raleigh, North Carolina. Dr. Patel is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Dementia, Alzheimer's Disease, Familial Hypertension, and Hypertension.

      James S. Mills
      Experienced in Heart Failure
      Experienced in Heart Failure

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd, 
      Raleigh, NC 
       (3.5 miles away)
      Experience:
      26+ years
      Languages Spoken:
      English
      Offers Telehealth

      I am a cardiologist at Duke Cardiology of Raleigh. I specialize in interventional cardiology and perform procedures at Duke University Hospital and Duke Raleigh Hospital. The part about my job that I enjoy the most is being able to intervene on different cardiac issues a patient might face. I help people with blockages in different arteries and other heart disease complications in hopes of improving their quality of life. It has always been a dream of mine to go into medicine. I think it was a combination of the joy of science and having a positive impact on patients’ lives. Patients aren’t just another number or case, but a mother, father, grandchild and they deserve the best care we can offer them. I’m originally from Florida and did some training in Boston before completing my training at Duke where I’ve stayed ever since. Dr. Mills is rated as an Experienced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Angina, Coronary Heart Disease, Heart Failure with Preserved Ejection Fraction (HFpEF), Atherectomy, and Transcatheter Aortic Valve Replacement (TAVR).

      Stephen E. Robinson
      Experienced in Heart Failure
      Experienced in Heart Failure

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd, 
      Raleigh, NC 
       (3.5 miles away)
      Experience:
      27+ years
      Languages Spoken:
      English
      Offers Telehealth

      Stephen Robinson is a Cardiologist in Raleigh, North Carolina. Dr. Robinson has been practicing medicine for over 27 years and is rated as an Experienced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Atrial Fibrillation, Familial Progressive Cardiac Conduction Defect, Heart Failure, and Pulmonary Edema.

      Radha Goel
      Experienced in Heart Failure
      Cardiology
      Experienced in Heart Failure
      Cardiology

      Duke Cardiology Of Raleigh

      3320 Wake Forest Rd, 
      Raleigh, NC 
       (3.5 miles away)
      Experience:
      27+ years
      Languages Spoken:
      English, Hindi
      Offers Telehealth

      I practice non-invasive imaging for cardiology. One of the things I love about being at Duke is that there are so many people and providers who have interests and research and abilities in every sub-subspecialty of medicine. Specifically in cardiology, there are treatment and surgery and procedures for everything. So a patient who comes to Duke for cardiology has all of that available at their fingertips. My favorite part of my job is meeting and taking care of patients every day, seeing new people and learning about them and how I can help them improve their health -- and of course hearing people say, wow I really feel better because of what we did two weeks ago. I really enjoy making that impact. Dr. Goel is rated as an Experienced provider by MediFind in the treatment of Heart Failure. Her top areas of expertise are Atrial Fibrillation, Angina, Mitral Valve Prolapse, and Pulmonary Veno-Occlusive Disease.

      Advanced in Heart Failure
      Internal Medicine
      Advanced in Heart Failure
      Internal Medicine

      Internal Medicine Associates Of Raleigh, PA

      3850 Ed Dr, Suite 100, 
      Raleigh, NC 
       (4.5 miles away)
      Languages Spoken:
      English, Spanish
      Accepting New Patients
      Offers Telehealth

      Michael James is a primary care provider, practicing in Internal Medicine in Raleigh, North Carolina. Dr. James is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Vascular Dementia, End-Stage Renal Disease (ESRD), Malnutrition, and Heart Failure with Preserved Ejection Fraction (HFpEF). Dr. James is currently accepting new patients.

      Advanced in Heart Failure
      Cardiac Electrophysiology | Cardiology
      Advanced in Heart Failure
      Cardiac Electrophysiology | Cardiology

      North Carolina Mg LLC

      2800 Blue Ridge Rd, Suite 400, 
      Raleigh, NC 
       (4.6 miles away)
      Languages Spoken:
      English
      Accepting New Patients

      Randolph Cooper is a Cardiac Electrophysiologist and a Cardiologist in Raleigh, North Carolina. Dr. Cooper is rated as an Advanced provider by MediFind in the treatment of Heart Failure. His top areas of expertise are Arrhythmias, Atrial Fibrillation, Sick Sinus Syndrome, Pacemaker Implantation, and Cardiac Ablation. Dr. Cooper is currently accepting new patients.

      Showing 1-20 of 182

      Last Updated: 02/22/2026

      What is the definition of Heart Failure?

      Heart failure is a condition in which the heart is no longer able to pump oxygen-rich blood to the rest of the body efficiently. This causes symptoms to occur throughout the body.

      Which doctors treat heart failure?   

      Heart failure, also called congestive heart failure, is managed by a team of specialized doctors

      • Primary care doctors are often the first to identify signs of heart failure. They help monitor symptoms, manage overall health, and coordinate care among specialists. They play an important role in early detection and ongoing support. 
      • Cardiologists, including heart failure specialists, lead treatment by diagnosing the condition, prescribing medications, and recommending lifestyle changes. In advanced cases, they may oversee procedures like implantable devices and heart transplants. 
      • Pulmonologists manage lung-related symptoms, such as shortness of breath, due to fluid buildup. They may prescribe diuretics or oxygen therapy to relieve congestion and improve breathing. 
      • Electrophysiologists treat heart rhythm issues (arrhythmias) that may develop with heart failure. They stabilize rhythms through medications, procedures, or implanted devices like pacemakers or defibrillators. 

      What are the symptoms of heart failure? 

      Symptoms of heart failure can vary by type and level of intensity from person to person. 

      Common signs include: 

      • Shortness of breath, especially during activity or while lying down 
      • Fatigue and weakness 
      • Swelling in the legs, ankles, and feet 
      • Rapid or irregular heartbeat 
      • Persistent cough or wheezing, often with white or pink mucus 
      • Difficulty concentrating and a general feeling of being weak or tired 

      How is heart failure diagnosed?  

      Heart failure is diagnosed through a combination of medical history, physical exams, and tests that assess heart function.  

      • Electrocardiogram (ECG or EKG): Small sensors attached to the skin detect the heart’s rhythm and identify any irregularities, which can signal heart stress or damage. 
      • Echocardiogram: This ultrasound test uses sound waves to create live images that show the heart’s size, shape, and how well it pumps, helping doctors assess damage or weak heart muscle.  
      • Blood Tests: Tests like the B-type natriuretic peptide (BNP) measure specific markers that show heart strain. Elevated BNP levels suggest the heart is under stress or working harder than normal. 
      • Chest X-ray: This imaging test shows the size of the heart and any fluid buildup in the lungs. Enlarged heart size or lung congestion can suggest heart failure.  
      • Stress Test: This test checks heart performance under exertion, usually involving exercise or medications that stimulate the heart. Doctors look at heart rate, blood pressure, and rhythm to identify defects. 
      • Cardiac MRI: A cardiac MRI (magnetic resonance imaging) uses magnetic fields and radio waves to create detailed images of the heart, which allows doctors to spot any structural and functional issues. 

      How does heart failure progress?   

      Heart failure progresses in four stages, from A to D. 

      • Stage A: High risk of developing heart failure, but without symptoms or structural heart disease. 
      • Stage B: Structural heart disease is present but without symptoms of heart failure. 
      • Stage C: Symptoms like fatigue and shortness of breath appear along with structural heart issues. 
      • Stage D: Advanced heart failure, where symptoms continue even with treatment. 

      By further classifying patients in stage C and stage D heart failure, healthcare teams can better understand how to treat symptoms in more advanced stages. The most common approach is to categorize patients based on symptom severity during physical activity.  

      • Class I means there is no limitation of physical activity 
      •  Class II means there is a slight limitation of physical activity 
      • Class III: means symptoms cause discomfort and limitation of physical activity 
      • Class IV means symptoms are present even at rest and any activity causes discomfort 

      What is the difference between a heart failure doctor and a cardiologist?  

      Both heart failure doctors and cardiologists treat heart failure, but they bring different levels of specialization. A cardiologist is a doctor who treats diseases of the heart and blood vessels, while a heart failure doctor is a cardiologist who specializes in heart failure. Cardiologists are experts in diagnosing and managing a wide range of heart conditions. Heart failure doctors focus specifically on heart failure and may prescribe advanced treatments or therapies. While both types of doctors are essential in treating heart failure, heart failure specialists provide a more focused approach for individuals with complex or severe cases.  

      What is the life expectancy of someone with heart failure? 

      Estimating survival rate is complicated because the life expectancy of someone with heart failure depends on what stage the condition is, how well they respond to treatment, and lifestyle factors. Early stages of heart failure, especially with lifestyle changes and treatment, can slow down progression. In later stages, treatment focuses on symptom management and improving quality of life. Regular follow-ups with a heart failure expert can help patients live longer, healthier lives. However, if heart failure is left untreated, it will be fatal.  

      When should I see a Heart Failure doctor near Raleigh,, NC?

      There are various reasons why you may want to see a specialist, such as: 

      • Your primary care provider recommends it. 
      • Your condition requires expert knowledge and specialized care. 
      • Your symptoms persist or worsen despite treatment. 
      • You need specialized testing or procedures. 
      • You want a second opinion.  

      What should I consider when choosing a Heart Failure doctor near Raleigh,, NC?

      It’s important to see a provider with expertise in your specific condition. Each provider profile in MediFind’s doctor database includes information on which conditions they treat, years of experience, research contributions, languages spoken, insurance plans accepted, and more.  

      How does MediFind rank Heart Failure doctors near Raleigh,, NC?

      MediFind’s rankings are based on a variety of data sources, such as the number of articles a doctor has published in medical journals, participation in clinical trials and industry conferences, as well as the number of patients that provider sees for a given condition. Note that MediFind’s provider database is not based on user reviews, and providers do not pay to be included in the database. 

      What types of insurance are accepted by Heart Failure doctors near Raleigh,, NC?

      Most profiles in MediFind’s doctor database include a list of insurance plans accepted by that provider. However, it’s a good idea to contact the provider’s office to make sure they still accept your insurance, then doublecheck by contacting your insurance plan to confirm they’re in network. 

      How can I book an appointment online with a Heart Failure doctor near Raleigh,, NC?

      MediFind offers direct scheduling for certain providers using the “Request Appointment” button on that provider’s profile. If the schedule option is not available for a provider, tap the red “Show Phone Number” button on their profile to get their contact information. If you prefer to find providers who offer online scheduling, select “Schedules online” under the “Availability” category of the filter feature on the left side of the Heart Failure doctor search results page. 

      Why is it important to get a second opinion from a different Heart Failure doctor?

      Second opinions are an opportunity to confirm a diagnosis and its root cause, learn about alternative treatment options, or simply gain peace of mind. Many people, especially those with serious diagnoses, get second opinions so they can understand all their options and make informed decisions, so don’t hesitate to get one if you have any doubts or need more information or clarification regarding your care. Note that some insurance plans require second opinions, while others don’t cover second opinions, so be sure to confirm with your insurance provider first.   

      How can I prepare for my appointment with a Heart Failure doctor near Raleigh,, NC?

      Prepare for your appointment by gathering the following items: 

      • Copies of medical records (dating back at least one year) 
      • Your medical history, including illnesses, medical conditions, surgeries, and other doctors you see 
      • Family history of disease 
      • List of current prescription drugs, over-the-counter medicines, vitamins, and herbal remedies or supplements including names and doses 
      • Allergies to medications, food, latex, insects, etc.  
      • List of questions and concerns 
      • Your insurance card 

      You might also contact the provider’s office to see if they offer transportation or childcare services or if you’re allowed to bring a loved one for support or to take notes during your visit. 

      What questions should I ask my Heart Failure doctor?

      Here are some sample questions: 

      • Can you explain in simple terms what this condition is and how it’s treated? 
      • What symptoms or side effects should I watch for? 
      • What tests will be involved, and when can I expect results? 
      • Are there other specialists I need to see? 
      • What’s the best way to reach you if I have follow-up questions? 

      How can I learn about the latest clinical trials and research advances my Heart Failure doctor may know about?

      MediFind’s Clinical Trials tool asks you a series of questions to help you narrow down your search by health condition, age, gender, location, how far you’re willing to travel, and more. Each question you answer filters down the number of trials until you find the ones that are most relevant to you. 

      MediFind’s Latest Advances tool features summaries of recent articles published in medical journals. We use cutting-edge technology to scour medical publication databases for the latest research advancements on any given condition, then we simplify this information in a way that’s useful and easy to understand. 

      Can I filter my search to show male or female Heart Failure doctors near Raleigh,, NC?

      Look for the filter feature on the left side of the Heart Failure doctor search results page. Select “Female” or “Male” under the “Gender” category to search for female or male providers exclusively. If the “Any” option is selected, it will pull results for both male and female providers. 

      Can I filter my search to find a Heart Failure doctor that offers video calls?

      Look for the filter feature on the left-side of the Heart Failure doctor search results page. Select “Offers telehealth visits” under the Availability category to search for providers who offer virtual appointments (video calls). 

      Reviewed on: 11/11/24  

      By: MediFind Medical Staff 

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