Provider Demographics
NPI:1780638106
Name:CAMBRIA CARDIOLOGY, INC.
Entity Type:Organization
Organization Name:CAMBRIA CARDIOLOGY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRES
Authorized Official - Prefix:
Authorized Official - First Name:VIRENDER
Authorized Official - Middle Name:
Authorized Official - Last Name:DHAWER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:814-535-1234
Mailing Address - Street 1:321 MAIN ST
Mailing Address - Street 2:SUITE 4H
Mailing Address - City:JOHNSTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:15901-1632
Mailing Address - Country:US
Mailing Address - Phone:814-535-1234
Mailing Address - Fax:814-535-4321
Practice Address - Street 1:321 MAIN ST
Practice Address - Street 2:SUITE 4H
Practice Address - City:JOHNSTOWN
Practice Address - State:PA
Practice Address - Zip Code:15901-1632
Practice Address - Country:US
Practice Address - Phone:814-535-1234
Practice Address - Fax:814-535-4321
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-20
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA150405Medicare ID - Type Unspecified