Provider Demographics
NPI:1316299118
Name:LAS SENDAS CARDIOLOGY, PC
Entity type:Organization
Organization Name:LAS SENDAS CARDIOLOGY, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:AFROZE
Authorized Official - Middle Name:ARA
Authorized Official - Last Name:AHMAD
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-361-9949
Mailing Address - Street 1:3514 N POWER RD STE 107
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85215-2907
Mailing Address - Country:US
Mailing Address - Phone:480-361-9949
Mailing Address - Fax:480-361-9969
Practice Address - Street 1:3514 N POWER RD
Practice Address - Street 2:SUITE 107
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85215-2903
Practice Address - Country:US
Practice Address - Phone:480-361-9949
Practice Address - Fax:480-361-9969
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-04
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ207R00000X
207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ466098Medicaid
AZ466098Medicaid