Healthcare Provider Details

I. General information

NPI: 1851622112
Provider Name (Legal Business Name): VIJAY ARUN DORAISWAMY MD, MBA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/26/2010
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

603 N WILMOT RD STE 201
TUCSON AZ
85711-2701
US

IV. Provider business mailing address

6401 N PLACITA DEL ZOPILOTE
TUCSON AZ
85750-1236
US

V. Phone/Fax

Practice location:
  • Phone: 520-886-3432
  • Fax:
Mailing address:
  • Phone: 520-638-2222
  • Fax: 520-527-1271

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number43424
License Number StateAZ
# 2
Primary TaxonomyY
Taxonomy Code207RI0011X
TaxonomyInterventional Cardiology Physician
License Number43424
License Number StateAZ
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number43424
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: