Healthcare Provider Details

I. General information

NPI: 1598706947
Provider Name (Legal Business Name): CARDIAC CONSULTANTS, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/09/2006
Last Update Date: 04/29/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2112 HARRISBURG PIKE SUITE 100
LANCASTER PA
17601-2644
US

IV. Provider business mailing address

2112 HARRISBURG PIKE SUITE 100
LANCASTER PA
17601-2644
US

V. Phone/Fax

Practice location:
  • Phone: 717-299-5000
  • Fax: 717-431-4310
Mailing address:
  • Phone: 717-299-5000
  • Fax: 717-431-4340

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code207RC0200X
TaxonomyCritical Care Medicine (Internal Medicine) Physician
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SURENDER SINGH
Title or Position: SENIOR PARTNER
Credential: M.D.
Phone: 717-299-5000