Provider Demographics
NPI:1770504987
Name:CARDIAC ARRHYTHMIA SERVICES LTD
Entity Type:Organization
Organization Name:CARDIAC ARRHYTHMIA SERVICES LTD
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PRADEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHESHWARI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:847-429-3988
Mailing Address - Street 1:1435 N RANDALL RD
Mailing Address - Street 2:SUITE 206
Mailing Address - City:ELGIN
Mailing Address - State:IL
Mailing Address - Zip Code:60123-2306
Mailing Address - Country:US
Mailing Address - Phone:847-429-8988
Mailing Address - Fax:847-324-2195
Practice Address - Street 1:1435 N RANDALL RD
Practice Address - Street 2:SUITE 206
Practice Address - City:ELGIN
Practice Address - State:IL
Practice Address - Zip Code:60123-2306
Practice Address - Country:US
Practice Address - Phone:847-429-8988
Practice Address - Fax:847-324-2195
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-22
Last Update Date:2015-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036072514207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IL036072514Medicaid
IL036072514Medicaid
IL213786Medicare PIN