Provider Demographics
NPI:1619528460
Name:INDUS CARDIOLOGY, INC A PROFESSIONAL CORPORATION
Entity Type:Organization
Organization Name:INDUS CARDIOLOGY, INC A PROFESSIONAL CORPORATION
Other - Org Name:INDUS CARDIOLOGY, INC - A PROFESSIONAL CORPORATION
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:REENU
Authorized Official - Last Name:PALIWAL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:909-623-2300
Mailing Address - Street 1:2740 N GAREY AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:POMONA
Mailing Address - State:CA
Mailing Address - Zip Code:91767-1800
Mailing Address - Country:US
Mailing Address - Phone:909-623-2300
Mailing Address - Fax:909-469-2472
Practice Address - Street 1:2740 N GAREY AVE STE 100
Practice Address - Street 2:
Practice Address - City:POMONA
Practice Address - State:CA
Practice Address - Zip Code:91767-1800
Practice Address - Country:US
Practice Address - Phone:909-623-2300
Practice Address - Fax:909-469-2472
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-24
Last Update Date:2020-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty