Active NPI
Canyon Hematology Oncology
- Hematology (Internal Medicine) Physician
- Mesa, AZ
National Provider Identifier
1235432865
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology (Internal Medicine) Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Hematology (Internal Medicine) Physician | 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 DirectoryNPI 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.