Provider Demographics
NPI:1700967916
Name:THE HEART CARE GROUP, PC
Entity type:Organization
Organization Name:THE HEART CARE GROUP, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MD
Authorized Official - Prefix:
Authorized Official - First Name:SHEHZAD
Authorized Official - Middle Name:M
Authorized Official - Last Name:MALIK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:610-770-2200
Mailing Address - Street 1:1249 S. CEDAR CREST BLVD.
Mailing Address - Street 2:SUITE 100
Mailing Address - City:ALLENTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18103-6259
Mailing Address - Country:US
Mailing Address - Phone:610-770-2200
Mailing Address - Fax:610-770-2995
Practice Address - Street 1:1249 S CEDAR CREST BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:ALLENTOWN
Practice Address - State:PA
Practice Address - Zip Code:18103-6259
Practice Address - Country:US
Practice Address - Phone:610-770-2200
Practice Address - Fax:610-770-2995
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-17
Last Update Date:2020-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
207RC0000X
PA207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
722794Medicare PIN
PA722794Medicare UPIN