MEDICARE: HEART CARE CONSULTANTS, LLC

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	2005013891	MO

General Provider Information

NPI Number	:	1033324587
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART CARE CONSULTANTS, LLC

Provider Business Mailing Address
First Line	:	1819 MANOR HILL RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1503
Country	:	US
Telephone Number	:	314-394-9375
Fax Number	:

Provider Business Practice Location Address
First Line	:	1819 MANOR HILL RD
Second Line	:
City	:	SAINT LOUIS
State	:	MO
Zip	:	63131-1503
Country	:	US
Telephone Number	:	314-394-9375
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. SYED ABDUL-AZIZ
Credential	:	M.D.
Telephone Number	:	314-394-9375

Provider Enumeration Date	:	05/10/2007
Last Update Date	:	08/22/2020

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