Provider Demographics
NPI:1740430776
Name:TOLEDO CARDIOLOGY CONSULTANTS INC
Entity Type:Organization
Organization Name:TOLEDO CARDIOLOGY CONSULTANTS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AMEER
Authorized Official - Middle Name:
Authorized Official - Last Name:KABOUR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-251-3711
Mailing Address - Street 1:2409 CHERRY ST
Mailing Address - Street 2:SUITE 100
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2625
Mailing Address - Country:US
Mailing Address - Phone:419-251-3711
Mailing Address - Fax:419-251-6827
Practice Address - Street 1:2409 CHERRY ST
Practice Address - Street 2:SUITE 100
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2625
Practice Address - Country:US
Practice Address - Phone:419-251-3711
Practice Address - Fax:419-251-6827
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TOLEDO CARDIOLOGY CONSULTANTS, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-09-26
Last Update Date:2010-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH261QR0208X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0208XAmbulatory Health Care FacilitiesClinic/CenterRadiology, Mobile
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHID00952Medicare PIN