SOURABH AGGARWAL (NPI# 1154677417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154677417 |
| Entity Type | Individual |
| Full Name | SOURABH AGGARWAL |
| Credential | MD |
| Practice Address |
3805 E Bell Rd Ste 3100 Phoenix AZ 85032 |
| Mailing Address |
3805 E Bell Rd Ste 3100 Phoenix AZ 85032-2136 |
| Practice Telephone | 6028678644 |
| Practice Fax Number | 6026065128 |
| Mailing Telephone | 6028678644 |
| Mailing Fax Number | 6026065128 |
| Enumeration Date | 2012-07-24 |
| Last Update Date | 2020-03-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
58627 | AZ | Allopathic & Osteopathic Physicians |
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
58627 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 545765 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Oakland Dr, Kalamazoo, MI 490081282 | 2693374400 |
| Street Address |
3805 E BELL RD STE 3100 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205813656 | Erin E Deboer | Physician Assistant | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2005-12-28 |
| 1548804735 | Randy Savageau | Nurse Practitioner | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2019-10-31 |
| 1407217094 | Renee M Malvestuto | Nurse Practitioner | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2016-03-10 |
| 1013394063 | Nicole J Rauscher | Nurse Practitioner | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2015-04-29 |
| 1457743569 | Melinda Ellen Newman | Nurse Practitioner | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2015-02-26 |
| 1477700763 | Jujhar Singh Bains | Internal Medicine | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2008-08-19 |
| 1396942595 | Yoaav S Krauthammer | Internal Medicine | 3805 E Bell Rd Ste 3100, Phoenix, AZ 85032-2136 | 2007-06-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689298838 | Eboni Nicole Morris | Psychologist | 166001 N. 40th St., Suite 210, Phoenix, AZ 85032 | 2020-06-03 |
| 1326688573 | Genoa Healthcare, LLC | Durable Medical Equipment & Medical Supplies | 3227 E Bell Road, Suite 170, Room P1, Phoenix, AZ 85032 | 2020-01-15 |
| 1740836642 | Integrated Medical Services Inc | Internal Medicine | 3815 W Bell Rd, Ste 3200, Phoenix, AZ 85032 | 2019-08-15 |
| 1639739576 | Sarah Martin | Physical Therapy Assistant | Ridgecrest Healthcare, 16640 North 38th Street, Phoenix, AZ 85032 | 2019-06-13 |
| 1750846168 | Conte Sport Performance Therapy LLC | Physical Therapist | 18413 N. Cave Creed Rd, Suite 8, Phoenix, AZ 85032 | 2019-02-11 |
| 1659848208 | Pacific Dental Services Foundation | Physician Assistant | 4559 E. Bell Road, Ste 106, Phoenix, AZ 85032 | 2018-10-31 |
| 1083100812 | Phoenix Interventional Pain Management, Pllc | Anesthesiology | 3815 E Bell Rd Ste 3500a, Phoenix, AZ 85032 | 2018-07-04 |
| 1770074635 | Np Professional LLC | Clinic/Center | 3329 E Bell Rd Ste A1, Phoenix, AZ 85032 | 2018-05-25 |
| 1932600020 | North Phoenix Asc LLC | Clinic/Center | 3329 E Bell Rd Ste A2-a5, Phoenix, AZ 85032 | 2018-02-23 |
| 1396263307 | Cheryl Anne Miller | Registered Nurse | 15002 N. 32nd St., Phoenix, AZ 85032 | 2017-08-30 |
| Find all providers in zip 85032 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113546 | Phoenician Cardiac Care LLC | Internal Medicine | 2228 W Northern Ave # D-209, Phoenix, AZ 85021-9369 | 2020-08-07 |
| 1184122434 | Coordinated Health of Az, LLC | Internal Medicine | 2155 W Pinnacle Peak Rd Ste 201c, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1578007597 | Rivera Physician Pllc | Internal Medicine | 4345 E Aliso Cyn, Phoenix, AZ 85044-5582 | 2016-12-09 |
| 1841650850 | Cardiac Cath Lab of Phoenix, Lp | Internal Medicine | 1910 E Thomas Rd, Suite 101, Phoenix, AZ 85016-7766 | 2016-03-03 |
| 1699118240 | Mohammed Tahir Hasoon | Internal Medicine | 9100 N 2nd St Ste 3100, Phoenix, AZ 85020-2446 | 2013-04-14 |
| 1710279625 | Shivani Shodhan | Internal Medicine | 9100 N 2nd St Ste 321, Phoenix, AZ 85020-2459 | 2011-05-11 |
| 1447576566 | Sheena Amy Prakash | Internal Medicine | 3815 E Bell Rd Ste 3400, Phoenix, AZ 85032 | 2010-04-14 |
| 1316186679 | Advanced Heart & Vascular Institute | Internal Medicine | 1331 N 7th St Ste 190, Phoenix, AZ 85006-2701 | 2009-02-10 |
| 1679727531 | Advanced Cardiology Diagnostic Centers LLC | Internal Medicine | 2401 W Glendale Ave, Suite 208, Phoenix, AZ 85021-7677 | 2008-11-05 |
| 1972794659 | Rishi Kirit Patel | Internal Medicine | 6036 N 19th Ave Ste 506, Phoenix, AZ 85015-2143 | 2007-08-07 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.