HEART CLINIC OF HAMMOND NPI 1598060733

NPI Information

  • NPI: 1598060733
  • Provider Name: HEART CLINIC OF HAMMOND
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Organization
  • CLIA Number: 19D2023487
  • Address: 16033 DOCTORS BLVD
    HAMMOND, LA
    ZIP 70403
  • Phone: (985) 974-9278

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NPI Details

HEART CLINIC OF HAMMOND is a cardiovascular disease internal medicine in Hammond, LA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. HEART CLINIC OF HAMMOND NPI is 1598060733. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

16033 DOCTORS BLVD
HAMMOND, LA
ZIP 70403-479
Phone: (985) 974-9278
Fax: (985) 542-6341

The provider's authorized official is Ghiath Mikdadi .
The authorized official title is Managing Member and has the following contact phone number (225) 270-2733.

The CLIA number assigned to this NPI record is 19D2023487 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/19/2011 and was last updated on 1/6/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RC0000XInternal MedicineCardiovascular Disease11934RLOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12142976MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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