Advanced Cardiology Center LLC

Organization Active NPI Cardiovascular Disease Physician · Crowley, LA

NPI 1669739439 · NPPES record last updated Apr 25, 2012

Key facts

NPI
1669739439
Entity type
Organization (NPI type 2)
Primary specialty
Cardiovascular Disease Physician 207RC0000X
Legal business name
ADVANCED CARDIOLOGY CENTER LLC
Practice address
1113 E Northern Ave
Ste C
Crowley, LA 70526-3035
Phone
(337) 250-4647
Fax
(337) 205-7979
NPI assigned
Apr 18, 2012
Organization subpart
No

Authorized official

Name
Mr. Nitin Malla
Title
Manager
Phone
(337) 250-4647

National Provider Directory

Locations

1113 E Northern Ave
Ste C
Crowley, LA 70526
Phone (337) 250-4647

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician
Group: 193200000X MULTI-SPECIALTY GROUP
207RC0000X Yes

Addresses

Primary practice location

1113 E Northern Ave
Ste C
Crowley, LA 70526-3035

Mailing address

1113 E Northern Ave
Ste C
Crowley, LA 70526-3035
Phone (337) 250-4647

Other providers in Crowley, LA

All providers in Crowley, LA · Cardiovascular Disease Physician in Louisiana

Sources for this page

Verify at the official NPI Registry.