=====================================================
General NPI Number Information
=====================================================
NPI Number | 1013892942
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | STRUCTURAL HEART CARE PC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/08/2025
-----------------------------------------------------
Last Update Date | 08/08/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 11311 JAMAICA AVE
-----------------------------------------------------
City | RICHMOND HILL
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11418-2476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-666-0080
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 11311 JAMAICA AVE
-----------------------------------------------------
City | RICHMOND HILL
-----------------------------------------------------
State | NY
-----------------------------------------------------
Zip | 11418-2476
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 516-666-0080
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | MD
-----------------------------------------------------
Name | DR. ABDULLAH K MAHMOOD
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 516-666-0080
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 207RI0011X
-----------------------------------------------------
Taxonomy Name | Interventional Cardiology Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------