Provider Demographics
NPI:1578591574
Name:NORTH COAST CARDIOLOGY INC
Entity Type:Organization
Organization Name:NORTH COAST CARDIOLOGY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMAD
Authorized Official - Middle Name:G
Authorized Official - Last Name:SALKA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:440-989-1800
Mailing Address - Street 1:3600 KOLBE RD
Mailing Address - Street 2:SUITE 223
Mailing Address - City:LORAIN
Mailing Address - State:OH
Mailing Address - Zip Code:44053-1654
Mailing Address - Country:US
Mailing Address - Phone:440-989-1800
Mailing Address - Fax:440-989-1801
Practice Address - Street 1:3600 KOLBE RD
Practice Address - Street 2:SUITE 223
Practice Address - City:LORAIN
Practice Address - State:OH
Practice Address - Zip Code:44053-1654
Practice Address - Country:US
Practice Address - Phone:440-989-1800
Practice Address - Fax:440-989-1801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-29
Last Update Date:2010-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH9298631Medicare ID - Type Unspecified