ALLEN COUNTY CARDIOLOGY LLC NPI 1427276773

NPI Information

NPI: 1427276773
Provider Name: ALLEN COUNTY CARDIOLOGY LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 15D1099527

Address:
604 W. BERRY ST
FT WAYNE, IN
ZIP 46802
Phone: (260) 423-1331
Get Directions

ALLEN COUNTY CARDIOLOGY LLC is a cardiovascular disease internal medicine in Ft Wayne, IN. 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. ALLEN COUNTY CARDIOLOGY LLC NPI is 1427276773. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

604 W. BERRY ST
FT WAYNE, IN
ZIP 46802-106
Phone: (260) 423-1331
Fax: (260) 422-1046

The provider's authorized official is Naveen Lal .
The authorized official title is Mang. Partner and has the following contact phone number (260) 423-1331.

The CLIA number assigned to this NPI record is 15D1099527 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/23/2007 and was last updated on 9/20/2012.

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	207RC0000X	Internal Medicine	Cardiovascular Disease	01045695A	INDIANA	No
2	207RC0000X	Internal Medicine	Cardiovascular Disease	01027373A	INDIANA	No
3	207RG0300X	Internal Medicine	Geriatric Medicine	01051517A	INDIANA	No
4	207RC0000X	Internal Medicine	Cardiovascular Disease	01050563A	INDIANA	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	200108750A	MEDICAID	INDIANA
2	1275642837	OTHER	INDIANA	MOHANDAS NPI
3	200237610A	MEDICAID	INDIANA
4	G00274	MEDICARE UPIN	INDIANA
5	141360B	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	LOUIS A LOPEZ, MD
6	141360D	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	NAVEEN LAL, MD
7	H76090	MEDICARE UPIN	INDIANA
8	141360G	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	RAJESH MOHANDAS, MD
9	100054800A	MEDICARE ID-TYPE UNSPECIFIED	INDIANA	SHASHI K AHUJA, MD
10	200350400	MEDICAID	INDIANA
11	1548379191	OTHER	INDIANA	AHUJA NIP
12	1922117571	OTHER	INDIANA	LOPEZ NPI
13	C24211	MEDICARE UPIN	INDIANA
14	141360	MEDICARE PIN	INDIANA
15	F45098	MEDICARE UPIN	INDIANA
16	1770692337	OTHER	INDIANA	LAL NPI
17	200387750A	MEDICAID	INDIANA

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: 5/5/2024

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