MEDICARE: PARKVIEW CARDIOLOGY PLLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM2500X	Medical Specialty Clinic/Center
2	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1386236750
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PARKVIEW CARDIOLOGY PLLC

Provider Business Mailing Address
First Line	:	200 W 57TH ST STE 1010
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-3215
Country	:	US
Telephone Number	:	212-970-0911
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 W 57TH ST STE 1010
Second Line	:
City	:	NEW YORK
State	:	NY
Zip	:	10019-3215
Country	:	US
Telephone Number	:	212-970-0911
Fax Number	:

Authorized Official
Title or Position	:	PHYSICIAN/MEDICAL DIRECTOR
Name	:	DR. KEDAR DEEPAK SANKHOLKAR
Credential	:	M.D.
Telephone Number	:	212-970-0911

Provider Enumeration Date	:	02/08/2021
Last Update Date	:	01/07/2022

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