Organization
CARDIAC CARE CONSULTANTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOURDES CANELAS (ADMINISTRATION)
(219) 836-9677
Entity
Organization
Contact information
Practice address
1730 45TH AVE, MUNSTER, IN 46321-3915
(219) 836-9677
(219) 836-0688
Mailing address
1730 45TH AVE, MUNSTER, IN 46321-3915
(219) 836-9677
(219) 836-0688
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
01040667
IN
207UN0901X
Nuclear Cardiology Physician
01042616
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200465870
—
IN
Enumeration date
07/17/2006
Last updated
09/15/2010
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