MEDICARE: VASCULAR HEART & LUNG ASSOCIATES, PC

Medicare Provider Information

Scope of Practice

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

#	Taxonomy Code	Taxonomy
1	174400000X	Specialist
2	207RC0000X	Cardiovascular Disease Physician
3	2086S0129X	Vascular Surgery Physician
4	207RI0011X	Interventional Cardiology Physician
5	208G00000X	Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1558546903
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	VASCULAR HEART & LUNG ASSOCIATES, PC

Provider Business Mailing Address
First Line	:	PO BOX 7929
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85246-7929
Country	:	US
Telephone Number	:	480-722-7589
Fax Number	:	480-857-8313

Provider Business Practice Location Address
First Line	:	3850 E BASELINE RD STE 103
Second Line	:
City	:	MESA
State	:	AZ
Zip	:	85206-4403
Country	:	US
Telephone Number	:	480-722-7589
Fax Number	:	480-857-8313

Authorized Official
Title or Position	:	OWNERPHYSICAN
Name	:	DR. HANI SHENNIB
Credential	:	MD
Telephone Number	:	480-722-7589

Provider Enumeration Date	:	01/04/2008
Last Update Date	:	03/31/2026

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