Havasu Cardiac Surgery Pllc

NPI 1063811859 - Thoracic Surgery (Cardiothoracic Vascular Surgery) - 208G00000X

NPI Details
NPI 1063811859
Enumeration Date 08/18/2014
Last Updated 02/29/2016
Entity Type Healthcare Provider
Active Over 2 years ago
Authorized Information
Name PANKAJ PANKAJ
Position OWNER/MEMBER
Phone (917) 536-6453
Fax (602) 840-1290
Practice Location
1741 MESQUITE AVE
STE. A200
LAKE HAVASU CITY AZ, 86403-5695, US
Phone (917) 536-6453
Fax (602) 840-1290
Business Location
PO BOX 707
LAKE HAVASU CITY AZ, 86405-0707, US
Phone (917) 536-6453
Fax (602) 840-1290
Toxanomy
Taxonomy Code 208G00000X
License State Arizona
License Number 36397
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According to our database, Havasu Cardiac Surgery Pllc NPI is 1063811859, taxonomy code is 208G00000X and license number is 36397, license state is located at Arizona. Havasu Cardiac Surgery Pllc physically located at 1741 Mesquite Ave, Lake Havasu City AZ, 86403-5695. NPI Number 1033115704 has the healthcare provider type.

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1063811859 NPI number is provided on an as is basis without warranty of any kind. 1063811859 is maintained by the National Plan & Provider Enumeration System. The contents of Havasu Cardiac Surgery Pllc are for informational purposes only.