NPI 1063811859

Havasu Cardiac Surgery PLLC

Organisation Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Lake Havasu City, AZ

Practice location

Address: 1741 Mesquite Ave STE. A200, Lake Havasu City, AZ 86403-5695
Phone: (917) 536-6453
Fax: (888) 491-7482
Mailing address: PO Box 707, Lake Havasu City, AZ 86405-0707

Authorised official

Name: Pankaj Kulshrestha
Title: Owner/Member
Phone: (917) 536-6453

Registered specialties

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208G00000X Licence 36397 (AZ)

Other Thoracic Surgery (Cardiothoracic Vascular Surgery) providers in Arizona →

Registry record

NPI: 1063811859
Entity type: Organization
NPI issued: 18 Aug 2014
Record last updated: 22 Feb 2017

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.