Provider Demographics
NPI:1508198581
Name:HARTFORD HEART, P.C.
Entity Type:Organization
Organization Name:HARTFORD HEART, P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARSHAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:YEKTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:860-282-7600
Mailing Address - Street 1:478 BURNSIDE AVE
Mailing Address - Street 2:SUITE 201
Mailing Address - City:EAST HARTFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06108-2406
Mailing Address - Country:US
Mailing Address - Phone:860-282-7600
Mailing Address - Fax:860-282-2805
Practice Address - Street 1:478 BURNSIDE AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:EAST HARTFORD
Practice Address - State:CT
Practice Address - Zip Code:06108-2406
Practice Address - Country:US
Practice Address - Phone:860-282-7600
Practice Address - Fax:860-282-2805
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-02
Last Update Date:2010-04-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT047584207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT1497954044Medicaid
CTD400003330Medicare PIN