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Organization

LIFETIME CARDIOVASCULAR, PLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
GAUTAM KEDIA (OWNER/PHYSICIAN)
(480) 699-5536
Entity
Organization

Contact information

Practice address
2100 E YEAGER DR, CHANDLER, AZ 85286-1598
(480) 699-5536
(480) 699-9283
Mailing address
2487 S GILBERT RD STE 106-486, GILBERT, AZ 85295-8899
(480) 699-5536
(480) 699-9283

Taxonomy

Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
44342
AZ
207RI0011X
Interventional Cardiology Physician
Primary
207UN0901X
Nuclear Cardiology Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
872220
AZ
Enumeration date
11/22/2013
Last updated
03/09/2026
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