Provider Demographics
NPI:1679536270
Name:AMERICAN HEART INSTITUTE INC
Entity Type:Organization
Organization Name:AMERICAN HEART INSTITUTE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:WALI
Authorized Official - Middle Name:U
Authorized Official - Last Name:KHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:813-780-9900
Mailing Address - Street 1:37914 DAUGHTERY RD
Mailing Address - Street 2:
Mailing Address - City:ZEPHYRHILLS
Mailing Address - State:FL
Mailing Address - Zip Code:33541-1316
Mailing Address - Country:US
Mailing Address - Phone:813-780-9900
Mailing Address - Fax:813-780-9901
Practice Address - Street 1:37914 DAUGHTERY RD
Practice Address - Street 2:
Practice Address - City:ZEPHYRHILLS
Practice Address - State:FL
Practice Address - Zip Code:33541-1316
Practice Address - Country:US
Practice Address - Phone:813-780-9900
Practice Address - Fax:813-780-9901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-04-07
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLDB8192OtherRAILROAD MEDICARE
FLDB8192OtherRAILROAD MEDICARE