Healthcare Provider Details

I. General information

NPI: 1477461283
Provider Name (Legal Business Name): HEARTLAND CARDIOLOGY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

306 MEDICAL CENTER DR SW
FORT PAYNE AL
35968-3416
US

IV. Provider business mailing address

306 MEDICAL CENTER DR SW
FORT PAYNE AL
35968-3416
US

V. Phone/Fax

Practice location:
  • Phone: 256-845-9255
  • Fax: 256-997-1930
Mailing address:
  • Phone: 256-845-9255
  • Fax: 256-997-1930

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. WAEL ALHALASEH
Title or Position: MANAGING MEMBER
Credential: MD
Phone: 256-630-4600