Doctor Name: | DR. DIEGO R CORDOBA |
NPI Number: | 1053416388 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | M.D. |
License Number: | 035116-L |
Business Practice Address: | 100 Medical Arts Bldg Suite 140 Kittanning, PA - 162017135 |
Business Phone Number: | 7245484701 |
Business Fax Number: | 7245482003 |
Mailing Address: | 100 Medical Arts Bldg, Suite 140 KITTANNING |
State: | PA |
Postal Code: | 162017135 |
Phone Number: | 7245484701 |
Fax Number: | 7245482003 |
NPI Enumeration Date: | 09/13/2006 |
NPI Last Update Date: | 04/20/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 035116-L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | 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. |