CARDIAC AND VASCULAR ASSOCIATES LLC NPI 1104152768

NPI Information

NPI: 1104152768
Provider Name: CARDIAC AND VASCULAR ASSOCIATES LLC
Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

Address:
1851 MESQUITE AVE
SUITE 202
LAKE HAVASU CITY, AZ
ZIP 86403
Phone: (928) 855-5090
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CARDIAC AND VASCULAR ASSOCIATES LLC is a cardiovascular disease internal medicine in Lake Havasu City, AZ. 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. CARDIAC AND VASCULAR ASSOCIATES LLC NPI is 1104152768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1851 MESQUITE AVE
SUITE 202
LAKE HAVASU CITY, AZ
ZIP 86403-677
Phone: (928) 855-5090
Fax: (928) 855-9227

The provider's authorized official is Melvyn V Mahon .
The authorized official title is Member and has the following contact phone number (803) 730-6790.

The enumeration date for this NPI number is 11/2/2009 and was last updated on 11/2/2009.

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
1	207RC0000X	Internal Medicine	Cardiovascular Disease			Yes

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
1	L1560391-7	OTHER	ARIZONA	CORPORATION NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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