PANKAJ KULSHRESTHA (NPI# 1619900065) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619900065 |
| Entity Type | Individual |
| Full Name | PANKAJ KULSHRESTHA |
| Credential | MD |
| Practice Address |
1741 Mesquite Ave Suite A 200 Lake Havasu City AZ 86403-5695 |
| Mailing Address |
Po Box 707 Lake Havasu City AZ 86405-0707 |
| Practice Telephone | 9287336020 |
| Practice Fax Number | 8884917482 |
| Mailing Telephone | 9287336020 |
| Mailing Fax Number | 8884917482 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2017-02-22 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 36397 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 016115 | 05 |
| Street Address |
1741 MESQUITE AVE SUITE A 200 |
| City | LAKE HAVASU CITY |
| State | AZ |
| Zip Code | 86403-5695 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063811859 | Havasu Cardiac Surgery Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1741 Mesquite Ave, Ste. A200, Lake Havasu City, AZ 86403-5695 | 2014-08-18 |
| 1801194352 | Lakeside Heart and Vascular Center Pllc | Internal Medicine | 1741 Mesquite Ave, Suite A100, Lake Havasu City, AZ 86403-5695 | 2011-03-08 |
| 1316163678 | Larry C Lundin | Dentist | 1741 Mesquite Ave, B 100, Lake Havasu City, AZ 86403 | 2007-04-17 |
| 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 | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| 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. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215174024 | Roberto De Alba Cervera | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2082 Mesquite Ave Ste 102, Lake Havasu City, AZ 86403-6710 | 2009-01-15 |
| 1790253318 | Cardiovascular and Thoracic Solutions | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2082 Mesquite Ave, Lake Havasu City, AZ 86403-6710 | 2018-11-13 |
| 1063811859 | Havasu Cardiac Surgery Pllc | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1741 Mesquite Ave, Ste. A200, Lake Havasu City, AZ 86403-5695 | 2014-08-18 |
| 1679502470 | Havasu Cardiac Surgery PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 101 Civic Center Ln, Attn: Havasu Cardiac Surgery, Lake Havasu City, AZ 86403-5607 | 2006-07-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629536784 | Lammykins, LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 11610 N 17th Pl, Phoenix, AZ 85020-1320 | 2019-03-07 |
| 1619403995 | Surgical Healthcare LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4626 E Sheena Dr, Phoenix, AZ 85032-5524 | 2017-05-05 |
| 1902357676 | Hsien-chen John Chiang | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 336 W Rose Ln, Phoenix, AZ 85013-1529 | 2016-10-18 |
| 1154773463 | Marwan Ghazoul Md PC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4240 E Marlette Ave, Paradise Valley, AZ 85253-3960 | 2016-07-11 |
| 1609212497 | Joseph Donald Marco | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 4825 South Manning Camp Ct, Tucson, AZ 85747 | 2013-05-20 |
| 1467795054 | Christopher Piercecchi | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Savahs 3601 S 6th Ave, Tucson, AZ 85775-2303 | 2013-04-01 |
| 1376804203 | Daniel Scott Eads | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 1830 S Alma School Rd Ste 108, Mesa, AZ 85210-3086 | 2012-06-07 |
| 1699045419 | Neil George Steinhoff | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 3737 E Medlock Dr, Phoenix, AZ 85018-1507 | 2012-01-10 |
| 1164729711 | Burt Solomon Strug | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 2801 N. Camino Principal, Tucson, AZ 85715-3112 | 2011-02-17 |
| 1073832515 | Cecil Cyrus Vaughn II | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5124 N 31st Pl, #544, Phoenix, AZ 85016-4527 | 2010-05-24 |
| 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.