Provider Demographics
NPI:1942531033
Name:HEART SURGERY PC
Entity Type:Organization
Organization Name:HEART SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MOHAMMED
Authorized Official - Middle Name:A
Authorized Official - Last Name:QUADER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:402-552-6777
Mailing Address - Street 1:4242 FARNAM ST
Mailing Address - Street 2:#355
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68131-2806
Mailing Address - Country:US
Mailing Address - Phone:402-552-6777
Mailing Address - Fax:402-552-9710
Practice Address - Street 1:4242 FARNAM ST
Practice Address - Street 2:#355
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68131-2806
Practice Address - Country:US
Practice Address - Phone:402-552-6777
Practice Address - Fax:402-552-9710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-29
Last Update Date:2010-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Single Specialty