Healthcare Provider Details

I. General information

NPI: 1548320716
Provider Name (Legal Business Name): RIHNER, GUPTA & GROSZ CARDIOLOGY, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 03/27/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

600 PROVIDENCE PARK DR E
MOBILE AL
36695-4616
US

IV. Provider business mailing address

600 PROVIDENCE PARK DR E
MOBILE AL
36695-4616
US

V. Phone/Fax

Practice location:
  • Phone: 251-634-1544
  • Fax: 251-634-0235
Mailing address:
  • Phone: 251-634-1544
  • Fax: 251-634-0235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code174400000X
TaxonomySpecialist
License Number18816
License Number StateAL
# 2
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: RITESH GUPTA
Title or Position: PRESIDENT
Credential: M.D.
Phone: 251-634-1544