Manoj Rawal, PLLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

34083 Issued in AZ

Legal business name

MANOJ RAWAL, PLLC

Practice address

11124 W California Ave
Youngtown, AZ 85363-1246

Phone

(623) 583-2073

NPI assigned

Jan 14, 2009

Last updated

Jan 14, 2009By 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

Manoj Rawal, M.D.NPI 1003804170

Title

Owner

Phone

(623) 583-2073

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AZ

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Manoj Rawal, MD

  • Interventional Cardiology Physician
  • Peoria, AZ
  • NPI 1003804170

  Cardiovascular Disease

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1231891200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231891200000",
    "number": "1740427616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1149",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853801149",
            "telephone_number": "623-583-2073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11124 W CALIFORNIA AVE",
            "city": "YOUNGTOWN",
            "state": "AZ",
            "postal_code": "853631246",
            "telephone_number": "623-583-2073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANOJ RAWAL, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-14",
        "last_updated": "2009-01-14",
        "status": "A",
        "authorized_official_last_name": "RAWAL",
        "authorized_official_first_name": "MANOJ",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "623-583-2073",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AZ",
            "license": "34083",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lifestream Complete Senior Living Inc. (LifeStream at Cook Health Care)
• Lifestream Complete Senior Living, Inc. (LifeStream Complete Senior Living at Cook Health Care Suite 500 Assist)
• Lifestream Complete Senior Living, Inc. (LifeStream at Youngtown Green House 2)
• Lifestream Complete Senior Living, Inc. (LifeStream at Youngtown Green House 3)
• Denita Manning, LPCC
• Mark Burns, M D P C
• Andre E Matthews, LPCC
• Agatha Meeks
• David M Mengel, C.P.D.
• Lisa Marie Miller, OTR/L

• Cardiovascular Disease Physician in Youngtown, AZ
• Providers in Youngtown, 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 Jan 14, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.