Organization
PEDIATRIC CARDIOLOGY ASSOCIATES
Active
Organization
PEDIATRIC CARDIOLOGY ASSOCIATES
Active
Other names
Pediatric Cardiology Associates PSC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WALTER LOUIS SOBCZYK MD (PRESIDENT)
(502) 585-4802
Entity
Organization
Contact information
Practice address
601 SOUTH FLOYD STREET, STE 602, LOUISVILLE, KY 40202
(502) 585-4802
(502) 589-1256
Mailing address
601 S FLOYD ST, STE 602, LOUISVILLE, KY 40202-1835
(502) 585-4802
(502) 589-1256
Taxonomy
Speciality
Code
Description
License number
State
2080P0202X
Pediatric Cardiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100312350A
INDIANA MEDICAID
IN
01
—
1049837
PASSPORT
KY
01
—
5428
ANTHEM INSURANCE
KY
05
—
65906463
—
KY
Enumeration date
02/27/2007
Last updated
01/24/2012
Update your record
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