Organization
CONSULTING INTERVENTIONAL CARDIOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN ADAN MD (MANAGING GENERAL PARTNER)
(702) 386-6855
Entity
Organization
Contact information
Practice address
112 S WATER ST, #108, HENDERSON, NV 89015-2312
(702) 386-6855
(209) 575-4598
Mailing address
PO BOX 4398, MODESTO, CA 95352-4398
(209) 575-4575
(209) 575-4598
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
17530
AZ
207RI0011X
Interventional Cardiology Physician
Primary
5498
NV
207RI0011X
Interventional Cardiology Physician
F6379
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002002858
—
NV
Enumeration date
04/13/2006
Last updated
03/07/2023
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