DR. KOUSHIK NAG (NPI# 1699892059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699892059 |
| Entity Type | Individual |
| Full Name | DR. KOUSHIK NAG |
| Credential | DO |
| Practice Address |
10815 W Mcdowell Rd Suite 202 Avondale AZ 85392-5007 |
| Mailing Address |
3815 E Bell Rd Ste 2200 Phoenix AZ 85032-2139 |
| Practice Telephone | 6234330202 |
| Practice Fax Number | 6234330204 |
| Mailing Telephone | 6026333848 |
| Mailing Fax Number | 6026333841 |
| Enumeration Date | 2007-03-23 |
| Last Update Date | 2019-04-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
005149 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 441542 | 05 |
| Street Address |
10815 W MCDOWELL RD SUITE 202 |
| City | AVONDALE |
| State | AZ |
| Zip Code | 85392-5007 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144212721 | Riyaz A Sumar | Specialist | 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392-5007 | 2005-08-18 |
| 1538400692 | Alaina Anne Vacco | Physician Assistant | 10815 W Mcdowell Rd, Suite 305, Avondale, AZ 85392-5007 | 2013-03-13 |
| 1952652141 | Thomas Michael Martin | Physician Assistant | 10815 W Mcdowell Rd, Suite 305, Avondale, AZ 85392-5007 | 2012-09-27 |
| 1942597307 | Adam K Griffin | Physical Therapist | 10815 W Mcdowell Rd, Suite 203, Avondale, AZ 85392-5007 | 2011-07-06 |
| 1720211022 | Smi Imaging, LLC | Radiology | 10815 W Mcdowell Rd, Suite 102, Avondale, AZ 85392-5007 | 2009-09-02 |
| 1598996894 | Surgical Elite of Avondale, LLC | Clinic/Center | 10815 W Mcdowell Rd, Suite 101, Avondale, AZ 85392 | 2009-08-04 |
| 1093955908 | Arun S. Patil | Internal Medicine | 10815 W Mcdowell Rd, Suite 202, Avondale, AZ 85392 | 2009-03-05 |
| 1861649998 | Arizona Academy of Health and Performance LLC | Physical Therapist | 10815 W Mcdowell Rd, Ste 304, Avondale, AZ 85392-5007 | 2008-08-20 |
| 1497917660 | Paincare Health Institute LLC | Pain Medicine | 10815 W Mcdowell Rd, Ste 304, Avondale, AZ 85392-5007 | 2008-06-30 |
| 1215195284 | Paincare Health Institute LLC | Clinic/Center | 10815 W Mcdowell Rd, Ste 304, Avondale, AZ 85392-5007 | 2008-05-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972100063 | Arizona Imaging Center, LLC | Radiology | 10825 W Mcdowell Rd Suite 130, Avondale, AZ 85392 | 2020-10-02 |
| 1376159053 | Quick Med Center LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 100, Avondale, AZ 85392 | 2020-09-18 |
| 1225641046 | Ambulatory Surgery Centers, LLC | Clinic/Center | 10825 W Mcdowell Rd Suite 110, Avondale, AZ 85392 | 2020-08-31 |
| 1144842394 | National Cardiovascular Surgery Center, LLC | Clinic/Center | 10825 W Mcdowell Rd, Suite 310, Avondale, AZ 85392 | 2020-05-11 |
| 1073077145 | Lakeview Dentistry P.C., Inc. | Dentist | 10750 W. Mcdowell Road, Bldg. D410, Avondale, AZ 85392 | 2019-01-23 |
| 1699249458 | Elaine Van De Wille | Student in an Organized Health Care Education/Training Program | 3609 N 109th Ave, Avondale, AZ 85392 | 2019-01-15 |
| 1750890075 | West Valley Pediatrics | Nurse Practitioner | 10750 West Mcdowell Rd, Suite G700, Avondale, AZ 85392 | 2017-09-29 |
| 1336675305 | Hope-ann Kamler | Licensed Practical Nurse | 2150 North Santa Fe Blvd, Avondale, AZ 85392 | 2017-05-11 |
| 1790237527 | Visionworks, Inc | Eyewear Supplier (Equipment, not the service) | 10285 West Mcdowell Rd, Ste A-102, Avondale, AZ 85392 | 2016-10-27 |
| 1063969137 | Lorri Ward | Registered Nurse | 12750 W Coronado Rd, Avondale, AZ 85392 | 2016-09-07 |
| Find all providers in zip 85392 | ||||
| Taxonomy Code | 207RI0011X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Interventional Cardiology |
| An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/ Board Certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. ACGME Accredited Residency Program Requirements: 1 year of training plus a prerequisite of 3 years Internal Medicine, 3 years Cardiovascular Disease for a total of 7 years. ABMS Approved Subspecialty Certificate (Internal Medicine) |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972113546 | Phoenician Cardiac Care LLC | Internal Medicine | 2228 W Northern Ave # D-209, Phoenix, AZ 85021-9369 | 2020-08-07 |
| 1174023584 | Singh Cardiology, Pllc | Internal Medicine | 5170 E Glenn St Ste 130, Tucson, AZ 85712-7300 | 2018-02-13 |
| 1184122434 | Coordinated Health of Az, LLC | Internal Medicine | 2155 W Pinnacle Peak Rd Ste 201c, Phoenix, AZ 85027-1201 | 2018-01-31 |
| 1912405796 | Cardiac Cin of Tucson LLC | Internal Medicine | 5151 E Broadway Blvd Ste 1600a, Tucson, AZ 85711-3777 | 2018-01-26 |
| 1619407442 | Modern Vascular Institute LLC | Internal Medicine | 535 E Mckellips Rd Ste 115, Mesa, AZ 85203 | 2017-06-14 |
| 1578007597 | Rivera Physician Pllc | Internal Medicine | 4345 E Aliso Cyn, Phoenix, AZ 85044-5582 | 2016-12-09 |
| 1841650850 | Cardiac Cath Lab of Phoenix, Lp | Internal Medicine | 1910 E Thomas Rd, Suite 101, Phoenix, AZ 85016-7766 | 2016-03-03 |
| 1770951980 | Evolution Healthcare Management LLC | Internal Medicine | 7615 E Baseline Rd, Suite 101, Mesa, AZ 85209-8520 | 2015-09-03 |
| 1699118240 | Mohammed Tahir Hasoon | Internal Medicine | 9100 N 2nd St Ste 3100, Phoenix, AZ 85020-2446 | 2013-04-14 |
| 1124381637 | Raviinder Mann | Internal Medicine | 3501 N Scottsdale Rd Ste 348, Scottsdale, AZ 85251-5650 | 2012-06-19 |
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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.