Organization · Type 2 NPI

Cccg, LLC

Cardiovascular Disease Physician · Indianapolis, IN

NPI number 1861427775 Active

Practice location

1801 Senate Blvd, Methodist Professional Center, Suite 310
Indianapolis, IN 46202-1228

Call (317) 962-4836 Map

Fax (317) 962-8646

Mailing address

250 N Shadeland Ave, Suite 200
Indianapolis, IN 46219-4959

Specialties and licenses

Taxonomy	Code	License
Cardiovascular Disease Physician Primary	207RC0000X	None listed
Interventional Cardiology Physician	207RI0011X	None listed

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.

34 other providers at this address

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NPI record

NPI: 1861427775
Entity type: Organization (Type 2)
Issued: Jul 11, 2006
Last updated: Sep 21, 2007
Status: Active
Subpart: Yes of Clarian Health Partners, Inc

Other names

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Methodist Cardiology Physicians · doing business as

Authorized official

Samuel L Odle
President, CEO
(317) 962-4836

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1861427775

Cccg, LLC's National Provider Identifier is 1861427775, issued on Jul 11, 2006. The primary taxonomy on file is Cardiovascular Disease Physician (207RC0000X), and the practice location is in Indianapolis, IN. The record was last updated on Sep 21, 2007.