Organization
CARDIOLOGY SPECIALISTS MEDICAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAUSTUBH VASANT PATANKAR M.D. (PRESIDENT)
(951) 352-3937
Entity
Organization
Contact information
Practice address
3770 ELIZABETH ST, RIVERSIDE, CA 92506-2527
(951) 352-3937
(951) 352-2839
Mailing address
3770 ELIZABETH ST, RIVERSIDE, CA 92506-2527
(951) 352-3937
(951) 352-2839
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
A43218
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CA236270
PTAN
CA
Enumeration date
07/12/2006
Last updated
01/24/2023
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