Individual provider · Type 1 NPI

Nicky Mahboob Wadiwala, DO

Cardiovascular Disease Physician · Los Angeles, CA

NPI number 1255642179 Active

Practice location

1700 E Cesar E Chavez Ave Ste 1200
Los Angeles, CA 90033-2467

Fax (323) 268-2200

Specialties and licenses

TaxonomyCodeLicense
Internal Medicine Physician 207R00000X20A11280 (CA)
Cardiovascular Disease Physician Primary 207RC0000X20A11280 (CA)
Interventional Cardiology Physician 207RI0011X20A11280 (CA)

Cardiovascular Disease Physician: 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.

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About NPI 1255642179

Nicky Mahboob Wadiwala, DO's National Provider Identifier is 1255642179, issued on Jun 25, 2010. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Los Angeles, CA. The record was last updated on May 8, 2017.