Organization Active NPI

Canyon Hematology Oncology

  • Hematology (Internal Medicine) Physician
  • Mesa, AZ
National Provider Identifier
1235432865
Registry record updated Jan 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology (Internal Medicine) PhysicianTaxonomy code 207RH0000X
Legal business name
CANYON HEMATOLOGY ONCOLOGY
Practice address
4022 E Presidio St
Mesa, AZ 85215-1113
Phone
(480) 985-1093
Fax
(480) 985-0468
NPI assigned
Dec 21, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2011

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Sudhir K Aggarwal, M.D.
Title
Member
Phone
(602) 478-0736

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology (Internal Medicine) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RH0000X Primary

Addresses

Primary practice location

4022 E Presidio St
Mesa, AZ 85215-1113

Mailing address

PO Box 20490
Mesa, AZ 85277-0490
Phone (480) 985-1093

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1292889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1294012800000",
    "number": "1235432865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 20490",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852770490",
            "telephone_number": "480-985-1093",
            "fax_number": "480-985-0468"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4022 E PRESIDIO ST",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852151113",
            "telephone_number": "480-985-1093",
            "fax_number": "480-985-0468"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CANYON HEMATOLOGY ONCOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-21",
        "last_updated": "2011-01-03",
        "status": "A",
        "authorized_official_last_name": "AGGARWAL",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "602-478-0736",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RH0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.