Provider Demographics
NPI:1184351850
Name:COCHISE HEART AND VASCULAR CENTER, LLC
Entity type:Organization
Organization Name:COCHISE HEART AND VASCULAR CENTER, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:VINAY
Authorized Official - Middle Name:
Authorized Official - Last Name:SANGHI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:618-889-3386
Mailing Address - Street 1:5312 CALLE GRANADA
Mailing Address - Street 2:
Mailing Address - City:SIERRA VISTA
Mailing Address - State:AZ
Mailing Address - Zip Code:85635-8283
Mailing Address - Country:US
Mailing Address - Phone:618-889-3386
Mailing Address - Fax:
Practice Address - Street 1:1940 E WILCOX CENTER
Practice Address - Street 2:
Practice Address - City:SIERRA VISTA
Practice Address - State:AZ
Practice Address - Zip Code:85635
Practice Address - Country:US
Practice Address - Phone:618-889-3386
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-08-03
Last Update Date:2022-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical