Basic Information
| Provider Information | |||||||||
| NPI: | 1285914549 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | CARDIAC ARRHYTHMIA INSTITUTE LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 10238 E HAMPTON AVE | ||||||||
| Address2: | SUITE 501 | ||||||||
| City: | MESA | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 852093316 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808891573 | ||||||||
| FaxNumber: | 4808891574 | ||||||||
| Practice Location | |||||||||
| Address1: | 822 E. SAGUARO DR. | ||||||||
| Address2: | |||||||||
| City: | FLORENCE | ||||||||
| State: | AZ | ||||||||
| PostalCode: | 85132 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4808891573 | ||||||||
| FaxNumber: | 4808891574 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/18/2011 | ||||||||
| LastUpdateDate: | 07/21/2022 | ||||||||
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| AuthorizedOfficialLastName: | SHUKLA | ||||||||
| AuthorizedOfficialFirstName: | HIMANSHU | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGING PARTNER | ||||||||
| AuthorizedOfficialTelephone: | 4808891573 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | MD | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RC0000X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Cardiovascular Disease |
No ID Information.