Organization
VANGUARD CATHETERIZATION LAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIAN AHMED HASAN MD (MD OWNER)
(954) 854-6667
Entity
Organization
Contact information
Practice address
3401 DAVIE BLVD, FORT LAUDERDALE, FL 33312-2758
(954) 436-6660
Mailing address
603 N FLAMINGO RD STE 150, PEMBROKE PINES, FL 33028-1022
(954) 436-6660
(954) 436-6655
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
—
Other
Enumeration date
11/14/2019
Last updated
02/08/2021
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