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SAN TAN CVC CHANDLER NPI 1639567514


NPI Information

NPI: 1639567514
Provider Name: SAN TAN CVC CHANDLER

Doing Business As: SAN TAN CARDIOVASULAR CENTER

Classification: Internal Medicine - 207RC0000X
Entity Type: Organization

Specialization: Cardiovascular Disease

CLIA Number: 03D2034153

Address:
3980 E RIGGS RD STE 2
CHANDLER, AZ
ZIP 85249
Phone: (480) 895-0784
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SAN TAN CVC CHANDLER is a cardiovascular disease internal medicine in Chandler, 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. SAN TAN CVC CHANDLER NPI is 1639567514. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As San Tan Cardiovasular Center.

The provider's business location address is:

3980 E RIGGS RD STE 2
CHANDLER, AZ
ZIP 85249-413
Phone: (480) 895-0784

The provider's authorized official is Zelalem Yilma .
The authorized official title is Medical Director and has the following contact phone number (480) 390-3773.

The CLIA number assigned to this NPI record is 03D2034153 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/31/2014 and was last updated on 12/31/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RC0000XInternal MedicineCardiovascular Disease25431ARIZONAYes

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

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