PRABHJOT SINGH CHADHA (NPI# 1528293552) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528293552 |
| Entity Type | Individual |
| Full Name | PRABHJOT SINGH CHADHA |
| Credential | C.C.P |
| Practice Address |
101 Civic Center Ln Lake Havasu City AZ 86403-5607 |
| Mailing Address |
2015 Burke Ln Lake Havasu City AZ 86406-8149 |
| Practice Telephone | 9288558185 |
| Mailing Telephone | 4802992400 |
| Mailing Fax Number | 8552237549 |
| Enumeration Date | 2009-05-20 |
| Last Update Date | 2012-04-09 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 242T00000X | Perfusionist | Technologists, Technicians & Other Technical Service Providers |
| Street Address |
101 CIVIC CENTER LN |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5607 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639176233 | Pamela B. Reband | Anesthesiology | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2005-06-28 |
| 1659995652 | Alana Stern | Physician Assistant | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2020-06-04 |
| 1245702927 | Michael Barber | Registered Nurse | 101 Civic Center Ln, Lake Havasu City, AZ 86403 | 2018-12-19 |
| 1891276630 | Brian Andrew | Physician Assistant | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2018-08-28 |
| 1497264873 | Pinnacle Radiology Services | Radiology | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2017-09-28 |
| 1821516287 | Jaime Wasik | Nurse Practitioner | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2017-09-06 |
| 1144776055 | Paul Queior | Physician Assistant | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2016-08-30 |
| 1891146957 | Misty Maple | Nurse Practitioner | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2016-06-29 |
| 1316319460 | Sarah Fraser | Specialist/Technologist, Other | 101 Civic Center Ln, Lake Havasu City, AZ 86403-5607 | 2015-10-28 |
| 1780067280 | Samer Asem Haddad | Internal Medicine | 101 Civic Center Ln, Lake Havasu City, AZ 86403 | 2015-07-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104479039 | Liska's Apothecary Shop, Inc. | Assisted Living Facility | 1840 Mesquite Ave., Ste. E, Lake Havasu City, AZ 86403 | 2019-07-19 |
| 1275033227 | Ayad Costy | Pharmacist | 75 North Lake Havasu City, Lake Havasu City, AZ 86403 | 2018-02-16 |
| 1942727250 | Ideal Health Care, L.L.C. | Prosthetic/Orthotic Supplier | 1675 Mesquite Ave Ste A, Lake Havasu City, AZ 86403 | 2017-08-28 |
| 1063965036 | Cerner Health Connections, Inc | Clinic/Center | 89 Civic Center Blvd, Lake Havasu City, AZ 86403 | 2016-07-26 |
| 1447643358 | Lundin Dental PC | Durable Medical Equipment & Medical Supplies | 1741 Mesquite Avenue Ste B 100, Lake Havasu City, AZ 86403 | 2015-03-17 |
| 1912301425 | Arizona Havasu Bdm Pak LLC | Dentist | 1799 North Kiowa Blvd, Unit 109, Lake Havasu, AZ 86403 | 2014-10-13 |
| 1386047850 | Emily E Vona | Nurse Practitioner | 84 Acoma Blvd N Ste 104, Lake Havasu City, AZ 86403 | 2014-09-29 |
| 1750700589 | Thomas Wennergren | Pharmacist | 25 S Lake Havasu Ave, Lake Havasu City, AZ 86403 | 2014-04-09 |
| 1285997460 | Jamie L Lemire | Pharmacist | 1980 Mcculloch Blvd, Lake Havasu City, AZ 86403 | 2012-06-21 |
| 1053694448 | Goodwill of Northern Arizona | Exclusive Provider Organization | 1990 Mcculloch Blvd North, Lake Havasu City, AZ 86403 | 2011-09-22 |
| Find all providers in zip 86403 | ||||
| Taxonomy Code | 242T00000X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Perfusionist |
| A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient’s circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used. |
| Notes: Source: Health Professions Career and Education Directory, American Medical Association [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386900876 | 24 Seven Medical Services LLC | Perfusionist | 2015 Burke Ln, Lake Havasu City, AZ 86406-8149 | 2012-04-09 |
| 1437385192 | Arrow Perfusion Services LLC | Perfusionist | 1851 Mesquite Ave, Suite 202, Lake Havasu City, AZ 86403-5677 | 2009-06-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801435698 | Ameena Maher Arekat | Perfusionist | 22119 N 36th St, Phoenix, AZ 85050-7395 | 2019-12-27 |
| 1568931384 | Rachel Ramella | Perfusionist | 946 N Loma Vis, Mesa, AZ 85213-5425 | 2018-11-21 |
| 1972886059 | Sonya Lee Burrell | Perfusionist | 1898 E Carla Vista Dr, Chandler, AZ 85225-8202 | 2011-09-24 |
| 1689966574 | Emily Diane Hirleman | Perfusionist | 2753 E Broadway Rd # 101-454, Mesa, AZ 85204-1579 | 2011-05-10 |
| 1407098510 | Steven Ricky Sowell | Perfusionist | 1929 E Libra Dr, Tempe, AZ 85283-3229 | 2009-04-03 |
| 1760620926 | David Bradford Sanders Jr. | Perfusionist | 350 W. Thomas Rd., St. Joseph's Hospital and Medical Center, Attn: Cath La, Phoenix, AZ 85013-0000 | 2009-01-27 |
| 1730398199 | Victoria Dotson | Perfusionist | 1501 N. Campbell Av #4402, Tucson, AZ 85724 | 2007-05-22 |
| 1801931332 | Brian P Smith | Perfusionist | 5801 S Mcclintock Dr Ste 110, Tempe, AZ 85283-6002 | 2007-02-21 |
| 1881735876 | Dennis Glenn Bressler | Perfusionist | 2251 N Indian Ruins Rd, Suite C, Tucson, AZ 85715-5331 | 2007-02-11 |
| 1497757199 | Perfusion Associates, Inc. | Perfusionist | 5801 S Mcclintock Dr, Suite 110, Tempe, AZ 85283-6002 | 2005-08-11 |
| Find all providers with the same taxonomy | ||||
| City | LAKE HAVASU CITY |
| Zip Code | 86403 |
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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.