1043547516 NPI number — HEART CLINICS OF NEW ORLEANS, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1043547516 NPI number — HEART CLINICS OF NEW ORLEANS, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEART CLINICS OF NEW ORLEANS, LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1043547516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/04/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1750 SAINT CHARLES AVE
Provider Second Line Business Mailing Address:
SUITE 205
Provider Business Mailing Address City Name:
NEW ORLEANS
Provider Business Mailing Address State Name:
LA
Provider Business Mailing Address Postal Code:
70130-5252
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
504-914-4851
Provider Business Mailing Address Fax Number:
213-291-9169

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1820 SAINT CHARLES AVE
Provider Second Line Business Practice Location Address:
SUITE 208
Provider Business Practice Location Address City Name:
NEW ORLEANS
Provider Business Practice Location Address State Name:
LA
Provider Business Practice Location Address Postal Code:
70130-5268
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
504-680-8383
Provider Business Practice Location Address Fax Number:
504-680-8384
Provider Enumeration Date:
11/04/2009

Additional Information

Authorized Official

Authorized Official Last Name:
KHALID
Authorized Official First Name:
MUHAMMAD
Authorized Official Middle Name:
Authorized Official Title or Position:
SOLE MEMBER
Authorized Official Telephone Number:
504-914-4851

Provider Taxonomy Codes

  • Taxonomy code: 207RI0011X , with the licence number:  13115R , registered in the state of LA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com