Provider Demographics
NPI:1568846913
Name:TRINITY CARDIOLOGY CENTER
Entity Type:Organization
Organization Name:TRINITY CARDIOLOGY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VISHWANATHA
Authorized Official - Middle Name:SUBRAMANYA
Authorized Official - Last Name:NADIG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:612-850-4898
Mailing Address - Street 1:151 BETHANY DR
Mailing Address - Street 2:
Mailing Address - City:MANHATTAN
Mailing Address - State:KS
Mailing Address - Zip Code:66503-3085
Mailing Address - Country:US
Mailing Address - Phone:612-850-3625
Mailing Address - Fax:
Practice Address - Street 1:151 BETHANY DR
Practice Address - Street 2:
Practice Address - City:MANHATTAN
Practice Address - State:KS
Practice Address - Zip Code:66503-3085
Practice Address - Country:US
Practice Address - Phone:612-850-3625
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-15
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/CenterGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSF94016Medicare UPIN