Organization
CEDARS HEART CLINIC, LLC
Active
Organization
CEDARS HEART CLINIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZIAD ELGHOUL MD (CEO)
(480) 917-5900
Entity
Organization
Contact information
Practice address
1968 N PEART RD, BUILDING B, SUITE 4, CASA GRANDE, AZ 85122-2495
(520) 836-6661
(520) 836-6663
Mailing address
1968 N PEART RD, BUILDING B, SUITE 4, CASA GRANDE, AZ 85122-2495
(520) 836-6661
(520) 836-6663
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
Primary
29317
AZ
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
569048
—
AZ
Enumeration date
06/14/2007
Last updated
03/12/2015
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