Provider Demographics
NPI:1568035772
Name:AMERICAN CARDIOLOGY LLC
Entity Type:Organization
Organization Name:AMERICAN CARDIOLOGY LLC
Other - Org Name:AMCARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO AND PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VISHWANATHA
Authorized Official - Middle Name:S
Authorized Official - Last Name:NADIG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:866-282-0406
Mailing Address - Street 1:503 E COLLIN RAYE DR
Mailing Address - Street 2:
Mailing Address - City:DE QUEEN
Mailing Address - State:AR
Mailing Address - Zip Code:71832-8048
Mailing Address - Country:US
Mailing Address - Phone:870-584-1053
Mailing Address - Fax:
Practice Address - Street 1:503 E COLLIN RAYE DR
Practice Address - Street 2:
Practice Address - City:DE QUEEN
Practice Address - State:AR
Practice Address - Zip Code:71832-8048
Practice Address - Country:US
Practice Address - Phone:870-584-1053
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:AMERICAN CARDIOLOGY LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-07-24
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty