MEDICARE: CARDIAC CARE, P.C.

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	174400000X	Specialist	24382	AZ

General Provider Information

NPI Number	:	1932134186
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIAC CARE, P.C.

Provider Business Mailing Address
First Line	:	450 S WILLARD ST STE 115
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-6744
Country	:	US
Telephone Number	:	928-634-3025
Fax Number	:	928-649-8800

Provider Business Practice Location Address
First Line	:	450 S WILLARD ST STE 115
Second Line	:
City	:	COTTONWOOD
State	:	AZ
Zip	:	86326-6744
Country	:	US
Telephone Number	:	928-634-3025
Fax Number	:	928-649-8800

Authorized Official
Title or Position	:	DOCTOR
Name	:	DR. NITIN PATEL
Credential	:	MD
Telephone Number	:	928-634-3025

Provider Enumeration Date	:	07/12/2006
Last Update Date	:	08/22/2020

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Directions to “CARDIAC CARE, P.C. ” Practice Location

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