MEDICARE: CARDIOVASCULAR INSTITUTE OF ARIZONA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RC0000X	Cardiovascular Disease Physician

General Provider Information

NPI Number	:	1619941531
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CARDIOVASCULAR INSTITUTE OF ARIZONA

Provider Business Mailing Address
First Line	:	215 S POWER RD
Second Line	:	STE 106
City	:	MESA
State	:	AZ
Zip	:	85206-5235
Country	:	US
Telephone Number	:	480-962-9494
Fax Number	:	480-962-8140

Provider Business Practice Location Address
First Line	:	215 S POWER RD
Second Line	:	STE 101
City	:	MESA
State	:	AZ
Zip	:	85206-5235
Country	:	US
Telephone Number	:	480-962-9494
Fax Number	:	480-962-8140

Authorized Official
Title or Position	:	MANAGING DIRECTOR
Name	:	DR. M. JAMIL AKHTAR
Credential	:	M.D.
Telephone Number	:	480-962-9494

Provider Enumeration Date	:	02/15/2006
Last Update Date	:	01/24/2008

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