Lifetime Heart And Vascular

LBN: Lifetime Cardiovascular, Plc
Lifetime Heart And Vascular is an health care organization with primary practice located at 1760 E Florence Blvd #200, Casa Grande AZ 85122-4764. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as the primary health care specialty. Lifetime Cardiovascular, Plc can be contacted via phone (480) 699-5536, or through Kedia, Gautam via phone (480) 699-5536.

Contact Information

Primary practice address
1760 E Florence Blvd #200 Casa Grande AZ 85122-4764
Phone: (480) 699-5536
Fax: (480) 699-9283
Website:
Map and Directions
Authorized official contact:
Name: Kedia, Gautam Doctor of Medicine (MD)
Phone: (480) 699-5536

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X

Profile Details

NPI number 1548652571
LBN Legal business name Lifetime Cardiovascular, Plc
DBA Doing business as Lifetime Heart And Vascular
Authorized official Kedia, Gautam Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 27th, 2015
Last updated Feb 27th, 2015 - about 9 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 1548652571 NPPES
Arizona MEDICAID 872220

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