Organization
CARDIOLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJAY J PATIL M.D. (CEO)
(859) 331-0774
Entity
Organization
Contact information
Practice address
900 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3422
(859) 331-0774
(859) 578-1937
Mailing address
900 MEDICAL VILLAGE DR, EDGEWOOD, KY 41017-3422
(859) 331-0774
(859) 578-1937
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0481778
—
OH
05
—
65912677
—
KY
01
—
CL9164
PALMETTO GBA - RAILROAD MEDICARE
KY
Enumeration date
12/30/2005
Last updated
12/04/2009
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