Southwest Cardiovascular Associates Ahmed Alfafara and Prasad LTD
Organization Active NPI Internal Medicine Physician · Bullhead City, AZ
NPI 1205883162 · NPPES record last updated Oct 12, 2023
Key facts
- NPI
- 1205883162
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Internal Medicine Physician 207R00000X
- Legal business name
- SOUTHWEST CARDIOVASCULAR ASSOCIATES AHMED ALFAFARA AND PRASAD LTD
- Practice address
- 1648 Highway 95
Bullhead City, AZ 86442-7906 - Phone
- (928) 758-4114
- Fax
- (928) 758-4650
- NPI assigned
- May 27, 2006
- Organization subpart
- No
Authorized official
- Name
- Mrs. Hema Prasad
- Title
- Administrator
- Phone
- (928) 758-4114
Practitioners 21
-
Rachel Lynn Blasingame, APRN, FNP-C
-
Mohamed S Ahmed, M.D.
-
Ricardo C Alfafara, M.D.
-
Scott Edward Ewing, FNP-BC
-
Channa B Prasad, M.D.
-
Afroze A Ahmad, MD
-
Andrew S Brenner, MD
-
Gordon J Cuzner, MD
-
Mahender Gaba, M.D.
-
Frank Pallares, MD
-
Nadeem Aslam, MD
-
Arthur B. Chausmer, MD, PHD
-
Warren Michael Fraser, M.D.
-
Verena Hug, M.D.
-
Christine Ann Linert, FNP-C
-
Haseena B Mirza, PA
-
Irfan M Mirza, M.D.
-
Fredric A Siegel, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in AZ, NV
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150709001657 | AZ | Part B Supplier - Clinic/Group Practice | 7810209525 |
Receives reassigned benefits from 5 practitioners Practice locations: Bullhead City, AZ |
| O20160708000849 | NV | Part B Supplier - Clinic/Group Practice | 7810209525 |
Receives reassigned benefits from 3 practitioners Practice locations: Las Vegas, NV |
National Provider Directory
Locations
1526 Turquoise Rd
Bullhead City, AZ 86442
Phone (928) 763-8515
2470 E Flamingo Rd
Ste D
Las Vegas, NV 89121
Phone (702) 380-2048
3650 South Pointe Cir
Ste 102
Laughlin, NV 89029
Phone (702) 299-0046
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/GBBICD
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician |
207R00000X | Yes |
Addresses
Primary practice location
1648 Highway 95
Bullhead City, AZ 86442-7906
Mailing address
1648 Hwy 95
Bullhead City, AZ 86442
Phone (928) 758-4114
Other names
- Southwest Cardiovascular Associates Alfafara, Jacobson, Mirza and Pras
Other providers in Bullhead City, AZ
- Sonora Quest Laboratories, LLC
- Mitchell Sopko
- Southwest Behavioral Health Services Inc.
- Southwest Behavioral Health Services, Inc.
- Southwest Behavioral Health Services,Inc.
- Southwest Orthopedic Services LLC
- Southwestern Eye Center LTD
- St Theresa Hospice LLC
- Nathan Jon Stackhouse
- Nicholas Scott Stagg
All providers in Bullhead City, AZ · Internal Medicine Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 12, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.