Provider Demographics
NPI:1568873685
Name:HEART RHYTHM CENTER OF PHILADELPHIA, LLC
Entity Type:Organization
Organization Name:HEART RHYTHM CENTER OF PHILADELPHIA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PROVIDER
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMAD
Authorized Official - Middle Name:
Authorized Official - Last Name:AL-BATAINEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:267-457-3977
Mailing Address - Street 1:2922 N 5TH ST
Mailing Address - Street 2:
Mailing Address - City:PHILADELPHIA
Mailing Address - State:PA
Mailing Address - Zip Code:19133-2801
Mailing Address - Country:US
Mailing Address - Phone:267-457-3977
Mailing Address - Fax:267-457-3972
Practice Address - Street 1:2301 E ALLEGHENY AVE STE 140
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19134-4427
Practice Address - Country:US
Practice Address - Phone:267-457-3977
Practice Address - Fax:267-457-3972
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-12
Last Update Date:2023-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD420870207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty