MEDICARE: DR. HESHAM ALI SADEK MD PHD

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	M2782	TX

General Provider Information

NPI Number	:	1942318639
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HESHAM ALI SADEK MD PHD

Provider Business Mailing Address
First Line	:	5323 HARRY HINER BLVD
Second Line	:
City	:	DALLAS
State	:	TX
Zip	:	75390-8573
Country	:	US
Telephone Number	:	214-648-1400
Fax Number	:	214-648-1450

Provider Business Practice Location Address
First Line	:	5939 HARRY HINES BLVD
Second Line	:	SUITE 935 VT CLINICAL HEART CENTER
City	:	DALLAS
State	:	TX
Zip	:	75235
Country	:	US
Telephone Number	:	214-645-8000
Fax Number	:	214-645-7501

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/25/2006
Last Update Date	:	01/14/2008

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