Scottsdale Heart & Vascular Associates LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

27334 Issued in AZ

Legal business name

SCOTTSDALE HEART & VASCULAR ASSOCIATES LLC

Practice address

4040 E Larkspur Dr
Phoenix, AZ 85032-7420

Phone

(480) 269-7641

NPI assigned

Sep 1, 2015

Last updated

Sep 1, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Imad Khaled, MD

Title

Provider

Phone

(480) 269-7641

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1441065600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1441065600000",
    "number": "1265809628",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6193",
            "city": "SCOTTSDALE",
            "state": "AZ",
            "postal_code": "852616193",
            "telephone_number": "480-269-7641"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4040 E LARKSPUR DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850327420",
            "telephone_number": "480-269-7641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCOTTSDALE HEART & VASCULAR ASSOCIATES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-01",
        "last_updated": "2015-09-01",
        "status": "A",
        "authorized_official_last_name": "KHALED",
        "authorized_official_first_name": "IMAD",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "480-269-7641",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "27334",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Cardiovascular Disease Physician in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Cardiovascular Disease Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2015; 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.