Provider Demographics
NPI:1124512710
Name:HEART AND VASCULAR ASSOCIATES LLC
Entity type:Organization
Organization Name:HEART AND VASCULAR ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:BHUSHAN
Authorized Official - Last Name:SANGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:520-335-2400
Mailing Address - Street 1:PO BOX 29650
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85038-9650
Mailing Address - Country:US
Mailing Address - Phone:520-335-2400
Mailing Address - Fax:877-669-0381
Practice Address - Street 1:1940 E WILCOX ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635
Practice Address - Country:US
Practice Address - Phone:520-335-2400
Practice Address - Fax:877-669-0381
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-18
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RI0011XAllopathic & Osteopathic PhysiciansInternal MedicineInterventional CardiologyGroup - Single Specialty