Provider Demographics
NPI:1518345677
Name:TOLEDO CARDIOLOGY CONSULTANTS
Entity Type:Organization
Organization Name:TOLEDO CARDIOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:KABOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-517-8123
Mailing Address - Street 1:2409 CHERRY ST
Mailing Address - Street 2:SUITE100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2625
Mailing Address - Country:US
Mailing Address - Phone:419-251-3700
Mailing Address - Fax:
Practice Address - Street 1:7640 SYLVANIA AVE
Practice Address - Street 2:SUITE H
Practice Address - City:SYLVANIA
Practice Address - State:OH
Practice Address - Zip Code:43560-9729
Practice Address - Country:US
Practice Address - Phone:419-517-8123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOLEDO CARDIOLOGY CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-05-09
Last Update Date:2015-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35.071058174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH1861485104OtherNPI