Healthcare Provider Details

I. General information

NPI: 1558006643
Provider Name (Legal Business Name): CARDIOLOGY CONSULTATIONS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/03/2022
Last Update Date: 05/03/2022
Certification Date: 05/03/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

901 FARMINGTON AVE STE 100
WEST HARTFORD CT
06119-1418
US

IV. Provider business mailing address

777 N MAIN ST APT 5
WEST HARTFORD CT
06117-2067
US

V. Phone/Fax

Practice location:
  • Phone: 860-410-6557
  • Fax: 347-244-7148
Mailing address:
  • Phone: 484-988-0084
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207UN0901X
TaxonomyNuclear Cardiology Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number
License Number State

VIII. Authorized Official

Name: SAURAV CHATTERJEE
Title or Position: OWNER
Credential: MD, FACC, FSCAI
Phone: 484-988-0084