Organization
NORTHERN NEVADA CARDIOLOGY PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL NDUATI (PRESIDENT)
(951) 200-7385
Entity
Organization
Contact information
Practice address
1850 SPRING RIDGE DR, SUITE B, SUSANVILLE, CA 96130-6100
(775) 356-4514
Mailing address
PO BOX 3046, MALVERN, PA 19355-0746
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
—
—
207RI0011X
Interventional Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1293740
—
CA
Enumeration date
09/18/2013
Last updated
10/30/2023
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