Healthcare Provider Details

I. General information

NPI: 1598700486
Provider Name (Legal Business Name): ARIZONA CARDIOVASCULAR AND THORACIC SURGEONS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8402 E SHEA BLVD SUITE 100
SCOTTSDALE AZ
85260-6635
US

IV. Provider business mailing address

8402 E SHEA BLVD SUITE 100
SCOTTSDALE AZ
85260-6635
US

V. Phone/Fax

Practice location:
  • Phone: 480-661-0700
  • Fax:
Mailing address:
  • Phone: 480-661-0700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. RAJEEV KATHURIA
Title or Position: OWNER
Credential: MD
Phone: 480-661-0700