Organization Name: | GRENADA CARDIOLOGY LLC |
NPI Number: | 1235482340 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN E SEIBEL (SOLE MBR) |
Mailing Address: | 1300 Sunset Dr Suite W Grenada |
State: | MS US |
Postal Code: | 389014086 |
Phone Number: | 6622279991 |
Fax Number: | 6622279996 |
NPI Enumeration Date: | 10/26/2012 |
NPI Last Update Date: | 10/26/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | 15354 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MS |
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. |