Lifetime Heart And Vascular

LBN: Lifetime Cardiovascular, Plc
Lifetime Heart And Vascular is an health care organization with primary practice located at 3185 N Windsong Dr , Prescott Valley AZ 86314-2240. 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
3185 N Windsong Dr Prescott Valley AZ 86314-2240
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 Arizona

Profile Details

NPI number 1114324837
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 Nov 24th, 2014
Last updated Nov 24th, 2014 - about 12 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 1114324837 NPPES
Arizona MEDICAID 872220

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