Provider Demographics
NPI:1356577688
Name:PINNACLE HEART SPECIALISTS, LLC
Entity type:Organization
Organization Name:PINNACLE HEART SPECIALISTS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING MEMBER
Authorized Official - Prefix:DR
Authorized Official - First Name:AKINDOLAPO
Authorized Official - Middle Name:O
Authorized Official - Last Name:AKINWANDE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:317-694-8487
Mailing Address - Street 1:1935 N CAPITOL AVE
Mailing Address - Street 2:#200
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202-6403
Mailing Address - Country:US
Mailing Address - Phone:317-694-8487
Mailing Address - Fax:
Practice Address - Street 1:1935 N CAPITOL AVE
Practice Address - Street 2:#200
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46202-6403
Practice Address - Country:US
Practice Address - Phone:317-694-8487
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2010-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200965000AMedicaid
IN200965000AMedicaid