Provider Demographics
NPI:1174949754
Name:CHAN HEART RHYTHM INSTITUTE PLLC
Entity type:Organization
Organization Name:CHAN HEART RHYTHM INSTITUTE PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEMBER
Authorized Official - Prefix:
Authorized Official - First Name:RODRIGO
Authorized Official - Middle Name:C
Authorized Official - Last Name:CHAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:480-773-2220
Mailing Address - Street 1:6709 E SOUTHERN AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85206-3738
Mailing Address - Country:US
Mailing Address - Phone:480-773-2220
Mailing Address - Fax:480-452-0533
Practice Address - Street 1:6709 E SOUTHERN AVE STE 100
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85206-3738
Practice Address - Country:US
Practice Address - Phone:480-773-2220
Practice Address - Fax:480-452-0533
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-06
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0001XAllopathic & Osteopathic PhysiciansInternal MedicineClinical Cardiac ElectrophysiologyGroup - Single Specialty