Basic Information
| Provider Information | |||||||||
| NPI: | 1427182708 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | HEART CONSULTANTS, PSC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 800 HOSPITAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | MADISONVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 42431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2703263800 | ||||||||
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| Practice Location | |||||||||
| Address1: | 800 HOSPITAL DRIVE | ||||||||
| Address2: | |||||||||
| City: | MADISONVILLE | ||||||||
| State: | KY | ||||||||
| PostalCode: | 42431 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2703263800 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 03/16/2007 | ||||||||
| LastUpdateDate: | 08/22/2020 | ||||||||
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| AuthorizedOfficialLastName: | GOYAL | ||||||||
| AuthorizedOfficialFirstName: | LALCHAND | ||||||||
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| AuthorizedOfficialTitleorPosition: | OWNER | ||||||||
| AuthorizedOfficialTelephone: | 2703263800 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | 26239 | KY | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
ID Information
| ID | Type | State | Issuer | Description | 26239 | 01 | KY | STATE MEDICAL LICENSE | OTHER |