Healthcare Provider Details

I. General information

NPI: 1942275813
Provider Name (Legal Business Name): CARDIOLOGY CARE ASSOCIATES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/22/2006
Last Update Date: 07/27/2022
Certification Date: 07/27/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5800 PARK CENTER CT STE A
TOLEDO OH
43615-0710
US

IV. Provider business mailing address

5800 PARK CENTER CT STE A
TOLEDO OH
43615-0710
US

V. Phone/Fax

Practice location:
  • Phone: 419-843-3781
  • Fax: 419-843-5432
Mailing address:
  • Phone: 419-843-3781
  • Fax: 419-843-5432

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. FADHIL A HUSSEIN
Title or Position: PRESIDENT
Credential: MD
Phone: 419-843-3781