Provider Demographics
NPI:1538665906
Name:HEART CARE OF MARYLAND LLC
Entity Type:Organization
Organization Name:HEART CARE OF MARYLAND LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD, OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMIT
Authorized Official - Middle Name:
Authorized Official - Last Name:MITTAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-876-9111
Mailing Address - Street 1:826 WASHINGTON RD STE 215
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-5780
Mailing Address - Country:US
Mailing Address - Phone:410-876-9111
Mailing Address - Fax:410-857-3345
Practice Address - Street 1:826 WASHINGTON RD STE 215
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5780
Practice Address - Country:US
Practice Address - Phone:410-876-9111
Practice Address - Fax:410-857-3345
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-04-03
Last Update Date:2018-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty