Organization
HEART CORE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AQEEL A SANDHU MD (SOLE PROPRIETOR)
(330) 363-1342
Entity
Organization
Contact information
Practice address
2600 6TH ST SW, CANTON, OH 44710-1702
(330) 363-1342
(330) 363-1361
Mailing address
PO BOX 80600, CANTON, OH 44708-0600
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2267621
—
OH
Enumeration date
12/01/2006
Last updated
03/25/2010
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