MEDICARE: MILWAUKEE CARDIAC CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	174400000X	Specialist	33146-020	WI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1992840227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MILWAUKEE CARDIAC CARE

Provider Business Mailing Address
First Line	:	5434 W CAPITOL DR
Second Line	:	SUITE # 1
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2298
Country	:	US
Telephone Number	:	414-442-5400
Fax Number	:	414-442-5468

Provider Business Practice Location Address
First Line	:	5434 W CAPITOL DR
Second Line	:	SUITE # 1
City	:	MILWAUKEE
State	:	WI
Zip	:	53216-2298
Country	:	US
Telephone Number	:	414-442-5400
Fax Number	:	414-442-5468

Authorized Official
Title or Position	:	CARDIOLOGIST
Name	:	DR. MAQSOOD AHMAD
Credential	:	MD
Telephone Number	:	414-442-5400

Provider Enumeration Date	:	02/21/2007
Last Update Date	:	10/14/2008

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Directions to “MILWAUKEE CARDIAC CARE ” Practice Location

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