Provider Demographics
NPI:1164564514
Name:COELHO, LUIZ C (MD)
Entity Type:Individual
Prefix:
First Name:LUIZ
Middle Name:C
Last Name:COELHO
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:7 SOUTHWOODS BLVD
Mailing Address - Street 2:3RD FL CAPITAL CARDIOLOGY ASSOCIATES PC
Mailing Address - City:ALBANY
Mailing Address - State:NY
Mailing Address - Zip Code:12211-2526
Mailing Address - Country:US
Mailing Address - Phone:518-292-6000
Mailing Address - Fax:518-641-6766
Practice Address - Street 1:7 SOUTHWOODS BLVD
Practice Address - Street 2:3RD FL CAPITAL CARDIOLOGY ASSOCIATES PC
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12211-2526
Practice Address - Country:US
Practice Address - Phone:518-292-6000
Practice Address - Fax:518-641-6766
Is Sole Proprietor?:No
Enumeration Date:2007-02-13
Last Update Date:2021-05-12
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Provider Licenses
StateLicense IDTaxonomies
NY246135208M00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY02928449Medicaid
MA2147220Medicaid
NY02928449Medicaid
NYRB6006Medicare PIN