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
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