MEDICARE: CHAN HEART RHYTHM INSTITUTE PLLC

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	207RC0001X	Clinical Cardiac Electrophysiology Physician

General Provider Information

NPI Number	:	1174949754
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHAN HEART RHYTHM INSTITUTE PLLC

Provider Business Mailing Address
First Line	:	7525 E BROADWAY RD STE 11
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85208-1156
Country	:	US
Telephone Number	:	480-945-4343
Fax Number	:	480-452-0533

Provider Business Practice Location Address
First Line	:	6709 E SOUTHERN AVE STE 100
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-3738
Country	:	US
Telephone Number	:	480-773-2220
Fax Number	:	480-452-0533

Authorized Official
Title or Position	:	MEMBER
Name	:	RODRIGO C CHAN
Credential	:	MD
Telephone Number	:	480-773-2220

Provider Enumeration Date	:	03/06/2014
Last Update Date	:	04/01/2026

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