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HAVASU CARDIAC SURGERY PLLC
NPI 1063811859
Thoracic Surgery (Cardiothoracic Vascular Surgery) in Lake Havasu City, AZ

Active since August 18, 2014
1741 MESQUITE AVE, STE. A200, LAKE HAVASU CITY, AZ 86403(917) 536-6453(888) 491-7482 Get Directions Write a Review

NPPES record last updated: February 22, 2017. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Feb 22, 2017, Feb 29, 2016 (2 updates tracked since 2016).

About Havasu Cardiac Surgery Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HAVASU CARDIAC SURGERY PLLC (NPI 1063811859) is a healthcare organization registered as a thoracic surgery (cardiothoracic vascular surgery) in Lake Havasu City, Arizona and active in the NPI registry since August 2014. The organization lists Pankaj Kulshrestha, Owner/member, as its authorized official.

NPPES Registry Identity

NPI1063811859
Entity TypeOrganization
Primary Taxonomy208G00000X
Legal Business NameHAVASU CARDIAC SURGERY PLLC
Location Address1741 MESQUITE AVE, STE. A200Lake Havasu City, AZ 86403-5695
Mailing AddressPo Box 707Lake Havasu City, AZ 86405-0707 · (917) 536-6453 · Fax (888) 491-7482
Phone(917) 536-6453
Fax(888) 491-7482
Organization SubpartNo
Authorized OfficialPankaj KulshresthaOwner/member · (917) 536-6453
Enumeration DateAugust 18, 2014
Last NPPES UpdateFebruary 22, 20172 updates tracked since enumeration
✔ NPI 1063811859 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyThoracic Surgery (Cardiothoracic Vascular Surgery)Allopathic & Osteopathic Physicians
Taxonomy Code208G00000X
License✔ Licensed in AZ · 36397
Definition
A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty.
1741 MESQUITE AVE, Lake Havasu City, AZ 86403
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Other Identifiers 3

Medicaid016115AZ
OtherP-1944708-5AZ · Corporation Number
Medicare PINZ179533AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LARRY C LUNDIN DDS
Dentist
1741 MESQUITE AVE, B 100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 855-0556
LAKESIDE HEART AND VASCULAR CENTER PLLC
Internal Medicine (Interventional Cardiology)
1741 MESQUITE AVE, SUITE A100
LAKE HAVASU CITY, AZ 86403
Mohave County (928) 453-2727

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Havasu Cardiac Surgery PLLC's NPI number?

The NPI number for Havasu Cardiac Surgery PLLC is 1063811859. It was assigned to this organization in the NPPES registry on August 18, 2014.

Where is Havasu Cardiac Surgery PLLC located?

Havasu Cardiac Surgery PLLC is located at 1741 Mesquite Ave Ste. A200, Lake Havasu City, AZ 86403. The listed phone number is (917) 536-6453.

What is Havasu Cardiac Surgery PLLC's specialty?

The primary specialty registered for this NPI is Thoracic Surgery (Cardiothoracic Vascular Surgery) with taxonomy code 208G00000X.

When was this NPI record last updated?

The NPPES record for Havasu Cardiac Surgery PLLC was last updated on February 22, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.