Provider Demographics
NPI:1609572775
Name:AMERICAN HEART SPECIALISTS PLLC
Entity Type:Organization
Organization Name:AMERICAN HEART SPECIALISTS PLLC
Other - Org Name:CARDIOCLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:ZAKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:718-419-6576
Mailing Address - Street 1:6909 BRISBANE CT STE 300
Mailing Address - Street 2:
Mailing Address - City:SUGAR LAND
Mailing Address - State:TX
Mailing Address - Zip Code:77479-7146
Mailing Address - Country:US
Mailing Address - Phone:281-801-7855
Mailing Address - Fax:281-801-7854
Practice Address - Street 1:6909 BRISBANE CT STE 300
Practice Address - Street 2:
Practice Address - City:SUGAR LAND
Practice Address - State:TX
Practice Address - Zip Code:77479-7146
Practice Address - Country:US
Practice Address - Phone:281-801-7855
Practice Address - Fax:281-801-7854
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-01
Last Update Date:2023-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty
No207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty