East Valley Heart Rhythm Clinic LLC

Primary specialty

Clinical Cardiac Electrophysiology PhysicianTaxonomy code 207RC0001X

Legal business name

EAST VALLEY HEART RHYTHM CLINIC LLC

Practice address

2680 S Val Vista Dr Ste 187
Siute 187
Gilbert, AZ 85295-1674

Phone

(602) 319-3334

NPI assigned

Nov 19, 2018

Organization subpart

No

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

Authorized official

Name

Shadi Idris, MD

Title

Owner

Phone

(602) 319-3334

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1542585600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1306315445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1749",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852441749",
            "telephone_number": "602-319-3334"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 S VAL VISTA DR STE 187",
            "address_2": "SIUTE 187",
            "city": "GILBERT",
            "state": "AZ",
            "postal_code": "852951674",
            "telephone_number": "602-319-3334"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2680 S Val Vista Dr Ste 187",
            "address_purpose": "LOCATION",
            "city": "Gilbert",
            "state": "AZ",
            "postal_code": "852951674",
            "country_code": "US",
            "telephone_number": "602-319-3334",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "EAST VALLEY HEART RHYTHM CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-19",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "IDRIS",
        "authorized_official_first_name": "SHADI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "602-319-3334",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RC0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Clinical Cardiac Electrophysiology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Cardiac Electrophysiology Physician in Gilbert, AZ
• Providers in Gilbert, AZ by specialty
• Clinical Cardiac Electrophysiology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; 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.