Provider Demographics
NPI:1558846501
Name:ASCENT CARDIOLOGY GROUP LLC
Entity Type:Organization
Organization Name:ASCENT CARDIOLOGY GROUP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SACHIN
Authorized Official - Middle Name:VIJAY
Authorized Official - Last Name:DIWADKAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-540-4322
Mailing Address - Street 1:602 S AUDUBON AVE STE B
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33609-4217
Mailing Address - Country:US
Mailing Address - Phone:813-540-4322
Mailing Address - Fax:813-540-7262
Practice Address - Street 1:602 S AUDUBON AVE STE B
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33609-4217
Practice Address - Country:US
Practice Address - Phone:813-540-4322
Practice Address - Fax:813-540-7262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-26
Last Update Date:2022-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty