Organization
LIFETIME CARDIOVASCULAR, PLC
Active
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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