Provider Demographics
NPI:1043547516
Name:HEART CLINICS OF NEW ORLEANS, LLC
Entity Type:Organization
Organization Name:HEART CLINICS OF NEW ORLEANS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:KHALID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:504-914-4851
Mailing Address - Street 1:1750 SAINT CHARLES AVE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70130-5252
Mailing Address - Country:US
Mailing Address - Phone:504-914-4851
Mailing Address - Fax:213-291-9169
Practice Address - Street 1:1820 SAINT CHARLES AVE
Practice Address - Street 2:SUITE 208
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70130-5268
Practice Address - Country:US
Practice Address - Phone:504-680-8383
Practice Address - Fax:504-680-8384
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-04
Last Update Date:2010-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA13115R207RI0011X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty