Havasu Cardiac Surgery Pllc

LBN: Havasu Cardiac Surgery Pllc
Havasu Cardiac Surgery Pllc is an health care organization with primary practice located at 1741 Mesquite Ave Ste. A200, Lake Havasu City AZ 86403-5695. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as the primary health care specialty. Havasu Cardiac Surgery Pllc can be contacted via phone (917) 536-6453, or through Kulshrestha, Pankaj via phone (917) 536-6453.

Contact Information

Primary practice address
1741 Mesquite Ave Ste. A200 Lake Havasu City AZ 86403-5695
Phone: (917) 536-6453
Fax: (888) 491-7482
Website:
Map and Directions
Authorized official contact:
Name: Kulshrestha, Pankaj Doctor of Medicine (MD)
Phone: (917) 536-6453

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 36397 Arizona

Profile Details

NPI number 1063811859
LBN Legal business name Havasu Cardiac Surgery Pllc
DBA Doing business as
Authorized official Kulshrestha, Pankaj Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2014
Last updated Feb 22nd, 2017 - about 7 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063811859 NPPES
Arizona Other P-1944708-5 CORPORATION NUMBER
Arizona MEDICAID 016115 CORPORATION NUMBER

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