=====================================================
General NPI Number Information
=====================================================
NPI Number | 1811863202
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | TOLEDO CARDIOLOGY CONSULTANTS INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/14/2025
-----------------------------------------------------
Last Update Date | 10/14/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2409 CHERRY ST STE 100
-----------------------------------------------------
City | TOLEDO
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 43608-2670
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-251-3711
-----------------------------------------------------
Fax | 419-251-6827
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | PO BOX 632155
-----------------------------------------------------
City | CINCINNATI
-----------------------------------------------------
State | OH
-----------------------------------------------------
Zip | 45263-2155
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 419-251-3711
-----------------------------------------------------
Fax | 419-251-6827
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | TARIF KANAAN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 419-251-3700
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 163WC3500X
-----------------------------------------------------
Taxonomy Name | Cardiac Rehabilitation Registered Nurse
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------