Provider Demographics
NPI:1164479846
Name:CARDIOLOGY CONSULTANTS, PSC
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS, PSC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:DEEPAK
Authorized Official - Middle Name:N
Authorized Official - Last Name:KAPADIA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:270-322-9099
Mailing Address - Street 1:550 HOSPITAL DR
Mailing Address - Street 2:SUITE B
Mailing Address - City:MADISONVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:42431-1652
Mailing Address - Country:US
Mailing Address - Phone:270-821-5454
Mailing Address - Fax:270-821-8818
Practice Address - Street 1:550 HOSPITAL DR
Practice Address - Street 2:SUITE B
Practice Address - City:MADISONVILLE
Practice Address - State:KY
Practice Address - Zip Code:42431-1652
Practice Address - Country:US
Practice Address - Phone:270-821-5454
Practice Address - Fax:270-821-8818
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-28
Last Update Date:2013-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY34261207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65944282Medicaid
KY9877Medicare PIN