Organization
CARDIO DIAGNOSTIC SYSTEMS, S.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PANKAJ S SHAH MD (PRESIDENT)
(618) 397-7300
Entity
Organization
Contact information
Practice address
10035 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1847
(618) 397-7300
(618) 397-7735
Mailing address
10035 LINCOLN TRL, FAIRVIEW HEIGHTS, IL 62208-1847
(618) 397-7300
(618) 397-7735
Taxonomy
Speciality
Code
Description
License number
State
246X00000X
Cardiovascular Specialist/Technologist
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036054481
—
IL
Enumeration date
11/09/2006
Last updated
07/21/2022
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