Provider Demographics
NPI:1174582589
Name:LEWISTOWN CARDIOLOGY ASSOCIATES PC
Entity type:Organization
Organization Name:LEWISTOWN CARDIOLOGY ASSOCIATES PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARVIND
Authorized Official - Middle Name:L
Authorized Official - Last Name:SUTHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:717-248-5431
Mailing Address - Street 1:217 S LOGAN BLVD
Mailing Address - Street 2:
Mailing Address - City:BURNHAM
Mailing Address - State:PA
Mailing Address - Zip Code:17009-1840
Mailing Address - Country:US
Mailing Address - Phone:717-248-5431
Mailing Address - Fax:717-248-5038
Practice Address - Street 1:217 SOUTH LOGAN BLVD
Practice Address - Street 2:
Practice Address - City:BURNHAM
Practice Address - State:PA
Practice Address - Zip Code:17009-1840
Practice Address - Country:US
Practice Address - Phone:717-248-5431
Practice Address - Fax:717-248-5038
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-03-23
Last Update Date:2010-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA0015340560005Medicaid
PA0015340560005Medicaid
PA443779Medicare Oscar/Certification