Provider Demographics
NPI:1205909488
Name:CARDIOLOGY CONSULTANTS
Entity type:Organization
Organization Name:CARDIOLOGY CONSULTANTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:ZOHEIR
Authorized Official - Middle Name:A
Authorized Official - Last Name:ABDELBAKI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-222-0189
Mailing Address - Street 1:770 W HIGH ST
Mailing Address - Street 2:SUITE 370
Mailing Address - City:LIMA
Mailing Address - State:OH
Mailing Address - Zip Code:45802
Mailing Address - Country:US
Mailing Address - Phone:419-222-0189
Mailing Address - Fax:419-225-8691
Practice Address - Street 1:770 W HIGH ST
Practice Address - Street 2:SUITE 370
Practice Address - City:LIMA
Practice Address - State:OH
Practice Address - Zip Code:45801
Practice Address - Country:US
Practice Address - Phone:419-222-0189
Practice Address - Fax:419-225-8691
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-16
Last Update Date:2007-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35081366207RC0000X
OH35081370207U00000X
OH35057167207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207U00000XAllopathic & Osteopathic PhysiciansNuclear MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH23453222Medicaid
OH2353466Medicaid
OH0826226Medicaid
OH9339883Medicare PIN
OHH31576Medicare UPIN
OH0826226Medicaid
OHH66882Medicare UPIN
OH23453222Medicaid