DR. PRADEEP KUMAR AGARWAL (NPI# 1780653840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780653840 |
| Entity Type | Individual |
| Full Name | DR. PRADEEP KUMAR AGARWAL |
| Credential | MD |
| Practice Address |
13460 N 94th Dr Ste J-1 Peoria AZ 85381-4246 |
| Practice Telephone | 6238768816 |
| Practice Fax Number | 6232980168 |
| Mailing Telephone | 6238768816 |
| Mailing Fax Number | 6232980168 |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2019-05-15 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
36655 | AZ | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
MD9949 | RI | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
A66262 | CA | Allopathic & Osteopathic Physicians |
| N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
14749R | LA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | MEDICARE PIN-CARDIAC SOLUTIONS | Z201190 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 14420 W. Meeker Blvd., Suite 305, Sun City West, AZ 85381 | 6238768816 | 6232980168 |
| Street Address |
13460 N 94TH DR STE J-1 |
| City | PEORIA |
| State | AZ |
| Zip Code | 85381-4246 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932712122 | Vicki L Grenier | Registered Nurse | 7558 W. Thunderbird Rd. Ste 1-507, Peoria, AZ 85381 | 2020-08-26 |
| 1568934107 | Earthwalk Wellness Group, LLC | Social Worker | 14050 North 83rd Avenue, Suite 290, Peoria, AZ 85381 | 2018-12-20 |
| 1316412059 | John & Biljana Feeley Dba J & B Assisted Living IIi Inc | Community Based Residential Treatment Facility, Mental Illness | 7331 W Sweetwater Avenue, Peoria, AZ 85381 | 2018-10-09 |
| 1467958611 | Arizona Community Pharmacy | Pharmacy | 14100 N 83rd Ave Ste 160, Peoria, AZ 85381 | 2018-04-04 |
| 1083112106 | Marissa Lynn Desjardins | Physical Therapist | 8240 W. Cactus Rd. Oakeson Physical Therapy, Peoria, AZ 85381 | 2018-01-23 |
| 1235651399 | Power Back Batteries LLC | Durable Medical Equipment & Medical Supplies | 9054 West Lisbon Ave, Peoria, AZ 85381 | 2017-07-11 |
| 1457897027 | Sonoran Sky Community Services | Community Based Residential Treatment Facility, Mental Illness | 7524 W. Alexandria Way, Peoria, AZ 85381 | 2017-01-06 |
| 1386023448 | Scott Boone | Registered Nurse | 7715 W Watson Ln, Peoria, AZ 85381 | 2015-05-22 |
| 1881084838 | Pinnacle Women's Center LLC | Obstetrics & Gynecology | 15396 N 83rd Ave Ste F100, Peoria, AZ 85381 | 2015-01-29 |
| 1245637081 | Kathi Locke | Counselor | 13460 N. 94th Drive, Suite J2, Peoria, AZ 85381 | 2014-11-21 |
| Find all providers in zip 85381 | ||||
| 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 |
|---|---|---|---|---|
| 1801184767 | Surya Teja Chaturvedula | Internal Medicine | 5409 N Knoxville Ave Ste 207, Peoria, IL 61614-5069 | 2011-07-13 |
| 1649310640 | Apichart L Radee | Internal Medicine | 900 Main St Ste 710, Peoria, IL 61602-5026 | 2007-02-07 |
| 1740454214 | Apichart L Radee Md Sc | Internal Medicine | 900 Main St, Suite 710, Peoria, IL 61602-1005 | 2008-04-16 |
| 1942234323 | Barry S Clemson | Internal Medicine | 5405 N Knoxville Ave, Peoria, IL 61614-5016 | 2006-07-10 |
| 1144298936 | Norman R. Shaia | Internal Medicine | 13460 N 94th Dr Ste J1, Peoria, AZ 85381-4246 | 2006-03-09 |
| 1700872223 | Charanjit Kapoor | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2005-09-20 |
| 1467454173 | Vincent J Nicchi | Internal Medicine | 13634 N 93rd Ave, Suite 300, Peoria, AZ 85381-4915 | 2005-08-12 |
| 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 |
| Find all providers with the same taxonomy | ||||
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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.