Provider Demographics
NPI:1497790182
Name:CARDIOVASCULAR MEDICINE ASSOCIATES, INC.
Entity Type:Organization
Organization Name:CARDIOVASCULAR MEDICINE ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:TRILOK
Authorized Official - Middle Name:C
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-816-2708
Mailing Address - Street 1:7255 OLD OAK BLVD
Mailing Address - Street 2:C208
Mailing Address - City:MIDDLEBURG HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44130-3329
Mailing Address - Country:US
Mailing Address - Phone:440-816-2708
Mailing Address - Fax:440-243-8480
Practice Address - Street 1:7255 OLD OAK BLVD
Practice Address - Street 2:C208
Practice Address - City:MIDDLEBURG HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:44130-3329
Practice Address - Country:US
Practice Address - Phone:440-816-2708
Practice Address - Fax:440-243-8480
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-18
Last Update Date:2010-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2403554Medicaid
OH2203234Medicaid
OH2193380Medicaid
OH2203289Medicaid
OH2193380Medicaid
OH9217092Medicare ID - Type Unspecified
OH9217094Medicare ID - Type Unspecified
OH2403554Medicaid