Provider Demographics
NPI:1942275813
Name:CARDIOLOGY CARE ASSOCIATES INC
Entity Type:Organization
Organization Name:CARDIOLOGY CARE ASSOCIATES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:FADHIL
Authorized Official - Middle Name:A
Authorized Official - Last Name:HUSSEIN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-843-3781
Mailing Address - Street 1:5800 PARK CENTER CT STE A
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-0710
Mailing Address - Country:US
Mailing Address - Phone:419-843-3781
Mailing Address - Fax:419-843-5432
Practice Address - Street 1:5800 PARK CENTER CT STE A
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615-0710
Practice Address - Country:US
Practice Address - Phone:419-843-3781
Practice Address - Fax:419-843-5432
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-02-22
Last Update Date:2022-07-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2351404Medicaid
OH2351404Medicaid
OH9319032Medicare ID - Type Unspecified