Provider Demographics
NPI:1669645511
Name:HEART DOCS.
Entity Type:Organization
Organization Name:HEART DOCS.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:VAJINATH
Authorized Official - Middle Name:
Authorized Official - Last Name:CHAKOTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:718-763-7061
Mailing Address - Street 1:6410 VETERANS AVE
Mailing Address - Street 2:SUITE # 102
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11234-5639
Mailing Address - Country:US
Mailing Address - Phone:718-763-7061
Mailing Address - Fax:718-763-3045
Practice Address - Street 1:6410 VETERANS AVE
Practice Address - Street 2:SUITE # 102
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11234-5639
Practice Address - Country:US
Practice Address - Phone:718-763-7061
Practice Address - Fax:718-763-3045
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-04-10
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY189449207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty