Provider Demographics
NPI:1760061592
Name:ARIZONA CARDIOVASCULAR CONSULTANTS PC
Entity Type:Organization
Organization Name:ARIZONA CARDIOVASCULAR CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SEYED MOHSEN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARIFI TAKIEH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-924-0006
Mailing Address - Street 1:3850 E BASELINE RD STE 102
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-4403
Mailing Address - Country:US
Mailing Address - Phone:480-834-0006
Mailing Address - Fax:480-924-0659
Practice Address - Street 1:3850 E BASELINE RD STE 102
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-4403
Practice Address - Country:US
Practice Address - Phone:480-834-0006
Practice Address - Fax:480-924-0659
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ARIZONA CARDIOVASCULAR CONSULTANTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty