Provider Demographics
NPI:1245610450
Name:HORIZON CARDIOVASCULAR INSTITUTE PLC
Entity Type:Organization
Organization Name:HORIZON CARDIOVASCULAR INSTITUTE PLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:HIVA
Authorized Official - Middle Name:
Authorized Official - Last Name:VAKIL
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-789-3606
Mailing Address - Street 1:19058 N 95TH WAY
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85255-5568
Mailing Address - Country:US
Mailing Address - Phone:480-789-3606
Mailing Address - Fax:
Practice Address - Street 1:5251 W CAMPBELL AVE STE 204
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85031-1719
Practice Address - Country:US
Practice Address - Phone:480-789-3606
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-03
Last Update Date:2015-06-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ34583207R00000X, 207RC0000X
AZ344852085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Multi-Specialty
No207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic RadiologyGroup - Multi-Specialty