| Antelope Valley Cardiology Associates | |
|
43723 20th St. West Ste 101 Lancaster CA 93534 | |
| (661) 674-4222 | |
| (661) 674-4220 |
| Full Name | Antelope Valley Cardiology Associates |
|---|---|
| Speciality | Internal Medicine |
| Location | 43723 20th St. West, Lancaster, California |
| Authorized Official Name and Position | Pramod V. Kadambi (PROVIDER/PARTNER) |
| Authorized Official Contact | 6616744222 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Antelope Valley Cardiology Associates 43723 20th St. West Ste 101 Lancaster CA 93534 Ph: (661) 674-4222 | Antelope Valley Cardiology Associates 43723 20th St. West Ste 101 Lancaster CA 93534 Ph: (661) 674-4222 |
| NPI Number | 1922146661 |
|---|---|
| Provider Enumeration Date | 02/02/2007 |
| Last Update Date | 09/17/2015 |
| Medicare PECOS PAC ID | 7416054614 |
|---|---|
| Medicare Enrollment ID | O20070523000332 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922146661 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Pramod V Kadambi |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1114988441 PECOS PAC ID: 1557257078 Enrollment ID: I20040223000944 |
| Provider Name | Sameh F Gadallah |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1205897535 PECOS PAC ID: 7911907910 Enrollment ID: I20070524000249 |
| Provider Name | Sanjaya Khanal |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1952460248 PECOS PAC ID: 0648340653 Enrollment ID: I20080603000419 |
| Provider Name | Moneer J Eddin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1073780938 PECOS PAC ID: 1052443264 Enrollment ID: I20100722000712 |
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