Provider Demographics
NPI:1376667733
Name:BRIGHTON CARDIOLOGY PC
Entity Type:Organization
Organization Name:BRIGHTON CARDIOLOGY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:M
Authorized Official - Last Name:ROHILLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:303-859-2546
Mailing Address - Street 1:1180 N INDIAN CANYON DR STE E205
Mailing Address - Street 2:
Mailing Address - City:PALM SPRINGS
Mailing Address - State:CA
Mailing Address - Zip Code:92262-4876
Mailing Address - Country:US
Mailing Address - Phone:760-325-1202
Mailing Address - Fax:760-864-7105
Practice Address - Street 1:1180 N INDIAN CANYON DR STE E205
Practice Address - Street 2:
Practice Address - City:PALM SPRINGS
Practice Address - State:CA
Practice Address - Zip Code:92262-4876
Practice Address - Country:US
Practice Address - Phone:760-325-1202
Practice Address - Fax:760-864-7105
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2023-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO32056207RC0000X
207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO01320563Medicaid
CA1821086182Medicaid
CO01320563Medicaid