Provider Demographics
NPI:1710274428
Name:SONORAN CARDIOLOGY, PLLC
Entity Type:Organization
Organization Name:SONORAN CARDIOLOGY, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:DR
Authorized Official - First Name:KHALID
Authorized Official - Middle Name:
Authorized Official - Last Name:NAQI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:928-951-4290
Mailing Address - Street 1:PO BOX 93370
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85070-3370
Mailing Address - Country:US
Mailing Address - Phone:928-951-4290
Mailing Address - Fax:
Practice Address - Street 1:1713 S KOFA AVE
Practice Address - Street 2:SUITE J
Practice Address - City:PARKER
Practice Address - State:AZ
Practice Address - Zip Code:85344-6477
Practice Address - Country:US
Practice Address - Phone:928-575-4959
Practice Address - Fax:928-575-4962
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-07-01
Last Update Date:2012-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center