Provider Demographics
NPI:1679623334
Name:CARDIOLOGY CONSULTANTS PC
Entity Type:Organization
Organization Name:CARDIOLOGY CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:JWALA
Authorized Official - Middle Name:
Authorized Official - Last Name:PRASAO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:517-882-8222
Mailing Address - Street 1:5848 EXECUTIVE DR
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911
Mailing Address - Country:US
Mailing Address - Phone:517-882-8222
Mailing Address - Fax:517-882-5345
Practice Address - Street 1:5848 EXECUTIVE DR
Practice Address - Street 2:
Practice Address - City:LANSING
Practice Address - State:MI
Practice Address - Zip Code:48911
Practice Address - Country:US
Practice Address - Phone:517-882-8222
Practice Address - Fax:517-882-5345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty