Provider Demographics
NPI:1962561027
Name:SELMA HEART INSTITUTE,PC
Entity type:Organization
Organization Name:SELMA HEART INSTITUTE,PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYDI
Authorized Official - Middle Name:V
Authorized Official - Last Name:AKSUT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:334-872-2001
Mailing Address - Street 1:913 MEDICAL CENTER PKWY
Mailing Address - Street 2:
Mailing Address - City:SELMA
Mailing Address - State:AL
Mailing Address - Zip Code:36701-6746
Mailing Address - Country:US
Mailing Address - Phone:334-872-2001
Mailing Address - Fax:334-872-0580
Practice Address - Street 1:913 MEDICAL CENTER PKWY
Practice Address - Street 2:
Practice Address - City:SELMA
Practice Address - State:AL
Practice Address - Zip Code:36701-6746
Practice Address - Country:US
Practice Address - Phone:334-872-2001
Practice Address - Fax:334-872-0580
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-06
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL19165207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL51020866OtherBLUE CROSS, BLUE SHIELD
AL51020866OtherBLUE CROSS, BLUE SHIELD