| Sd Premier Cardiac Center Inc. | |
|
655 Euclid Ave Ste 301 National City CA 91950-2972 | |
| (619) 472-4900 | |
| Not Available |
| Full Name | Sd Premier Cardiac Center Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 655 Euclid Ave Ste 301, National City, California |
| Authorized Official Name and Position | Prashant H Patel (CEO) |
| Authorized Official Contact | 6194724900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sd Premier Cardiac Center Inc. Po Box 882201 San Diego CA 92168-2201 Ph: () - | Sd Premier Cardiac Center Inc. 655 Euclid Ave Ste 301 National City CA 91950-2972 Ph: (619) 472-4900 |
| NPI Number | 1154004497 |
|---|---|
| Provider Enumeration Date | 08/14/2023 |
| Last Update Date | 08/25/2023 |
| Medicare PECOS PAC ID | 3173979960 |
|---|---|
| Medicare Enrollment ID | O20231031001732 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154004497 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| 207RC0000X | Internal Medicine - Cardiovascular Disease | (* (Not Available)) | Secondary |
| Provider Name | Prashant H Patel |
|---|---|
| Provider Type | Practitioner - Cardiovascular Disease (cardiology) |
| Provider Identifiers | NPI Number: 1598934960 PECOS PAC ID: 2163586736 Enrollment ID: I20090126000611 |
| Provider Name | Nirali P Patel |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1891004305 PECOS PAC ID: 0547439945 Enrollment ID: I20110801000360 |
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