MEDICARE: AFRIDI HEART CARE, P.L.L.C.

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	207RC0000X	Cardiovascular Disease Physician	J-2474	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0055NP	OTHER	TX	BCBS
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1598722662
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AFRIDI HEART CARE, P.L.L.C.

Provider Business Mailing Address
First Line	:	PO BOX 797007
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75379-7007
Country	:	US
Telephone Number	:	214-942-5511
Fax Number	:	214-942-5512

Provider Business Practice Location Address
First Line	:	916 E HIGHWAY 67
Second Line	:
City	:	DUNCANVILLE
State	:	TX
Zip	:	75137-2706
Country	:	US
Telephone Number	:	214-942-5511
Fax Number	:	214-942-5512

Authorized Official
Title or Position	:	PRESIDENT
Name	:	IMRAN AFRIDI
Credential	:	MD
Telephone Number	:	214-942-5511

Provider Enumeration Date	:	05/01/2006
Last Update Date	:	06/16/2023

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Directions to “AFRIDI HEART CARE, P.L.L.C. ” Practice Location

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