Provider Demographics
NPI:1245224948
Name:CARDIO-ANALYSIS INC
Entity Type:Organization
Organization Name:CARDIO-ANALYSIS INC
Other - Org Name:SUDERSHAN K HOODA MD
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MORGAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:912-898-5066
Mailing Address - Street 1:52 RUNABOUT LN
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31410-1638
Mailing Address - Country:US
Mailing Address - Phone:912-898-5066
Mailing Address - Fax:888-281-0258
Practice Address - Street 1:52 RUNABOUT LN
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31410-1638
Practice Address - Country:US
Practice Address - Phone:912-898-5066
Practice Address - Fax:888-281-0258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-09-08
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAGA021521207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
D29788Medicare UPIN
06BDHLWMedicare ID - Type Unspecified