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ALLEN COUNTY CARDIOLOGY LLC

Cardiovascular Disease

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

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Contact Information

ALLEN COUNTY CARDIOLOGY LLC
604 W. BERRY ST
FORT WAYNE, IN  46802-2106
 Phone: 260-423-1331
 Fax: 260-422-1046
 Website:
 

Specialty

 Taxonomy Code Specialty Code Provider Type

Cardiovascular Disease

 207RC0000X 11 Physician/Internal Medicine
 

Geriatric Medicine

 207RG0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ALLEN COUNTY CARDIOLOGY LLC

NPI # 1427276773
LBN Legal business name ALLEN COUNTY CARDIOLOGY LLC
Authorized official NAVEEN LAL - (MANG. PARTNER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2007
Last updated 09/20/2012 - About 14 years ago
Identifiers
IN License # 01027373A
IN License # 01045695A
IN License # 01050563A
IN License # 01051517A
IN Medicaid 200108750A
IN Medicaid 200237610A
IN Medicaid 200350400
IN Medicaid 200387750A
IN Other 1548379191 AHUJA NIP
IN Other 1770692337 LAL NPI
IN Other 1922117571 LOPEZ NPI
IN Other 1275642837 MOHANDAS NPI
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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