=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730675547
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | PULSE CARDIOVASCULAR INSTITUTE LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/04/2018
-----------------------------------------------------
Last Update Date | 07/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7285 E EARLL DR BLDG C
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85251-7230
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-912-4747
-----------------------------------------------------
Fax | 480-422-2690
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 12991 N 130TH WAY
-----------------------------------------------------
City | SCOTTSDALE
-----------------------------------------------------
State | AZ
-----------------------------------------------------
Zip | 85259-3548
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 480-600-0600
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PHYSICIAN
-----------------------------------------------------
Name | ANITA RAMAIAH
-----------------------------------------------------
Credential | MD
-----------------------------------------------------
Telephone | 480-600-0600
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 2086S0129X
-----------------------------------------------------
Taxonomy Name | Vascular Surgery Physician
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 261QM1300X
-----------------------------------------------------
Taxonomy Name | Multi-Specialty Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------