Healthcare Provider Details
I. General information
NPI: 1578499505
Provider Name (Legal Business Name): AMERICAN CARDIOVASCULAR ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/18/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
121 BECKS WOODS DR
BEAR DE
19701-3851
US
IV. Provider business mailing address
121 BECKS WOODS DR STE 202
BEAR DE
19701-3852
US
V. Phone/Fax
- Phone: 302-824-4103
- Fax:
- Phone: 302-266-9166
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RC0000X |
| Taxonomy | Cardiovascular Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
WASIF
QURESHI
Title or Position: OWNER
Credential: MD
Phone: 302-266-9166