Provider Demographics
NPI:1093813479
Name:WESTCHESTER CARDIAC ASSOCIATES PLLC
Entity Type:Organization
Organization Name:WESTCHESTER CARDIAC ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:KANWALWIR
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGHERA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:914-287-7617
Mailing Address - Street 1:311 NORTH STREET
Mailing Address - Street 2:SUITE 407
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10605-2217
Mailing Address - Country:US
Mailing Address - Phone:914-287-7617
Mailing Address - Fax:914-287-7618
Practice Address - Street 1:311 NORTH STREET
Practice Address - Street 2:SUITE 407
Practice Address - City:WHITE PLAINS
Practice Address - State:NY
Practice Address - Zip Code:10605-2217
Practice Address - Country:US
Practice Address - Phone:914-287-7617
Practice Address - Fax:914-287-7618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-20
Last Update Date:2011-01-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY205843207R00000X
NY184646207R00000X
207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WKW471Medicare PIN