CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC NPI 1023356144

NPI Information

NPI: 1023356144
Provider Name: CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
10752 BUSTLETON AVE
SUITE G
PHILADELPHIA, PA
ZIP 19116
Phone: (267) 307-9236
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CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC is a cardiovascular disease internal medicine in Philadelphia, PA. The provider is 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. CARDIOLOGY CONSULTANTS OF GREATER PHILADELPHIA PC NPI is 1023356144. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10752 BUSTLETON AVE
SUITE G
PHILADELPHIA, PA
ZIP 19116-367
Phone: (267) 307-9236

The provider's authorized official is Irina M Joukova .
The authorized official title is Owner and has the following contact phone number (267) 307-9236.

The enumeration date for this NPI number is 1/24/2013 and was last updated on 3/28/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		MD435017	PENNSYLVANIA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	25MA08508800	NEW JERSEY	No
3	207RC0000X	Internal Medicine	Cardiovascular Disease	MD435017	PENNSYLVANIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2157185	MEDICARE PIN	PENNSYLVANIA
2	102431691 0001	MEDICAID	PENNSYLVANIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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