Provider Demographics
NPI:1114786902
Name:PHOENIX AREA CARDIOLOGY AND ELECTROPHYSIOLOGY LLC
Entity Type:Organization
Organization Name:PHOENIX AREA CARDIOLOGY AND ELECTROPHYSIOLOGY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SIAMAK
Authorized Official - Middle Name:
Authorized Official - Last Name:RASSADI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-989-0725
Mailing Address - Street 1:16601 N 40TH ST STE 220
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85032-3354
Mailing Address - Country:US
Mailing Address - Phone:602-989-0725
Mailing Address - Fax:
Practice Address - Street 1:6502 N 35TH AVE
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85017-1496
Practice Address - Country:US
Practice Address - Phone:602-989-0725
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-15
Last Update Date:2024-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty