Healthcare Provider Details

I. General information

NPI: 1942277587
Provider Name (Legal Business Name): HEART CARE ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/02/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

960 N 12TH ST SUITE 400
MILWAUKEE WI
53233
US

IV. Provider business mailing address

960 N 12TH ST SUITE 400
MILWAUKEE WI
53233
US

V. Phone/Fax

Practice location:
  • Phone: 414-219-7653
  • Fax: 414-219-7676
Mailing address:
  • Phone: 414-219-7653
  • Fax: 414-219-7676

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207RC0001X
TaxonomyClinical Cardiac Electrophysiology Physician
License Number
License Number State

VIII. Authorized Official

Name: MASOOD AKHTAR
Title or Position: CHAIRMAN
Credential: MD
Phone: 414-219-7500