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NPI Code Detail

MEDICARE: CARDIOLOGY CARE INC

MEDICARE: CARDIOLOGY CARE INC
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
1261QM2500XMedical Specialty Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1021213700OTHEROHBLACK LUNG
2000000010016OTHEROHANTHEM PIN
35315621OTHEROHAETNA
4MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1477585495
Entity Type Code : Organization
Provider Name (Legal Business Name) : CARDIOLOGY CARE INC
Provider Business Mailing Address
First Line : 3006 N COUNTY ROAD 25A
Second Line : STE 104
City : TROY
State : OH
Zip : 45373-1373
Country : US
Telephone Number : 937-335-3518
Fax Number : 937-335-1231
Provider Business Practice Location Address
First Line : 3006 N COUNTY ROAD 25A
Second Line : STE 104
City : TROY
State : OH
Zip : 45373-1373
Country : US
Telephone Number : 937-335-3518
Fax Number : 937-335-1231
Authorized Official
Title or Position : PRESIDENT
Name : DR. WILLIAM J CZAJKA
Credential : M.D.
Telephone Number : 937-335-3518
Provider Enumeration Date : 07/07/2006
Last Update Date : 06/04/2010

Similar Medicare Providers

1982607172 — CASS M CULLIS MD
Practice Location Address:
3006 N COUNTY ROAD 25A , STE 104
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1588669139 — WILLIAM A CASTALDO M.D.
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1487659041 — GEORGES S YACOUB MD
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Practice Fax: 937-335-9840
1699771766 — THOMAS E KUPPER MD
Practice Location Address:
3006 N COUNTY ROAD 25A , SUITE 104
TROY, OH
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1972583458 — SUSAN L. HOYING CNP
Practice Location Address:
3006 N COUNTY ROAD 25A , SUITE 104
TROY, OH
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1609828367 — ARUNA K PRATTIPATI MD
Practice Location Address:
3006 N COUNTY ROAD 25A , 101
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45373-1373
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Practice Fax:

Directions to “CARDIOLOGY CARE INC ” Practice Location

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