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Organization

NORTHEAST CARDIOLOGY PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NASIR GARDEZI (PHYSICIAN/OWNER)
(606) 682-0448
Entity
Organization

Contact information

Practice address
1313 ST.ANTHONY PLACE, LOUISVILLE, KY 40204-0130
(606) 682-0448
Mailing address
PO BOX 130, PROSPECT, KY 40059-0130
(606) 682-0448

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary

Other

Enumeration date
03/10/2017
Last updated
07/11/2017
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