MEDICARE: AMERICAN HEART SPECIALISTS PLLC

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
2	261QM2500X	Medical Specialty Clinic/Center

General Provider Information

NPI Number	:	1609572775
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN HEART SPECIALISTS PLLC

Provider Business Mailing Address
First Line	:	6909 BRISBANE CT STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7146
Country	:	US
Telephone Number	:	281-801-7855
Fax Number	:	281-801-7854

Provider Business Practice Location Address
First Line	:	6909 BRISBANE CT STE 300
Second Line	:
City	:	SUGAR LAND
State	:	TX
Zip	:	77479-7146
Country	:	US
Telephone Number	:	281-801-7855
Fax Number	:	281-801-7854

Authorized Official
Title or Position	:	MANAGER
Name	:	DR. ZAKA KHAN
Credential	:
Telephone Number	:	718-419-6576

Provider Enumeration Date	:	02/01/2023
Last Update Date	:	06/12/2023

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