Organization
NORTHWEST ADVANCE CARDIOLOGY,INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ADEL M SHAHEEN MD (OWNER)
(419) 222-0189
Entity
Organization
Contact information
Practice address
770 W HIGH ST, SUITE 370, LIMA, OH 45801-3990
(419) 222-0189
(419) 225-8691
Mailing address
PO BOX 1298, LIMA, OH 45802-1298
(419) 222-0189
(419) 225-8691
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0826226
—
OH
Enumeration date
11/28/2006
Last updated
04/19/2012
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