Provider Demographics
NPI:1609223056
Name:HEART HEALTH CENTER, LLC
Entity Type:Organization
Organization Name:HEART HEALTH CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOLE MEMBER
Authorized Official - Prefix:MR
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 1:1848 E THOMAS RD STE 200
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-8104
Mailing Address - Country:US
Mailing Address - Phone:602-456-2342
Mailing Address - Fax:602-688-2342
Practice Address - Street 1:1848 E THOMAS RD
Practice Address - Street 2:SUITE 200
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85016-8112
Practice Address - Country:US
Practice Address - Phone:602-456-2342
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-16
Last Update Date:2021-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical