Provider Demographics
NPI:1356663736
Name:SWARUP LLC
Entity Type:Organization
Organization Name:SWARUP LLC
Other - Org Name:AZ HEART RHYTHM CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VIJENDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:SWARUP
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:602-456-2342
Mailing Address - Street 1:PO BOX 11191
Mailing Address - Street 2:
Mailing Address - City:BELFAST
Mailing Address - State:ME
Mailing Address - Zip Code:04915-4002
Mailing Address - Country:US
Mailing Address - Phone:602-456-2342
Mailing Address - Fax:602-688-2342
Practice Address - Street 1:1848 E THOMAS RD STE 100
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8103
Practice Address - Country:US
Practice Address - Phone:602-456-2342
Practice Address - Fax:602-688-2342
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-02-25
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ30467207RC0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ508259Medicaid
AZ508259Medicaid