Organization
CARDIOLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJAY PATIL (CEO)
(859) 331-0774
Entity
Organization
Contact information
Practice address
20 N GRAND AVE, STE 3, FORT THOMAS, KY 41075-4106
(859) 331-0774
(859) 426-4051
Mailing address
900 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3422
(859) 331-0774
(859) 426-4051
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CL9164
PALMETTO GBA-RAILROAD MEDICARE
—
Enumeration date
03/27/2008
Last updated
12/09/2009
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