Provider Demographics
NPI:1457580821
Name:HEART CARE ASSOCIATES PLLC
Entity Type:Organization
Organization Name:HEART CARE ASSOCIATES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ARIF
Authorized Official - Middle Name:HUSAIN
Authorized Official - Last Name:HAKIM
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:313-891-0094
Mailing Address - Street 1:3120 CARPENTER ST
Mailing Address - Street 2:SUITE 209
Mailing Address - City:HAMTRAMCK
Mailing Address - State:MI
Mailing Address - Zip Code:48212-9802
Mailing Address - Country:US
Mailing Address - Phone:313-891-0094
Mailing Address - Fax:313-893-0058
Practice Address - Street 1:3120 CARPENTER ST
Practice Address - Street 2:SUITE 209
Practice Address - City:HAMTRAMCK
Practice Address - State:MI
Practice Address - Zip Code:48212-9802
Practice Address - Country:US
Practice Address - Phone:313-891-0094
Practice Address - Fax:313-893-0058
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-07-07
Last Update Date:2012-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI4301050980207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI700H270770OtherBCBS GROUP
MIDQ8467OtherRAILROAD MEDICARE GROUP
MI700H270770OtherBCN GROUP
MI700F383880OtherBCBS GROUP
MI1457580821Medicaid
MI700F383880OtherBCN GROUP
MI700F383880OtherBCN GROUP