Organization
GOLDFIELD MEDICAL CLINICS, LLC
Active
Other names
Goldfield Cardiovascular Institute LLC, Goldfield Cardiovascular Institue
Organization subpart
No
Provider details
NPI number
Authorized official
SHANTHA KUMAR (OWNER)
(480) 962-0101
Entity
Organization
Contact information
Practice address
7615 E BASELINE RD STE 101, MESA, AZ 85209-2000
(480) 962-0101
(480) 962-0202
Mailing address
99 S GOLD DR STE 5, APACHE JUNCTION, AZ 85120-5036
(480) 962-0101
(480) 962-0202
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
376592
AHCCCS
AZ
01
—
AZ 0742840
BC/BS
AZ
Enumeration date
07/21/2006
Last updated
04/12/2024
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