Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Arizona Heart Institute Lake Havasu

Organization Internal Medicine Physician · NPI 1053512632

Arizona Heart Institute Lake Havasu is an Internal Medicine Physician in Lake Havasu City, Arizona. Registered with an NPI since 2007.

In the registry since
2007
Specialties on file
4

Practice location Address checks out

1845 McCulloch Blvd N Ste A6
Lake Havasu City, AZ 86403-6759
Phone: (520) 505-4442
Fax: (602) 240-6177
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Cardiovascular Disease Physician (primary) Taxonomy 207RC0000X
Internal Medicine Physician Taxonomy 207R00000X
Interventional Cardiology Physician Taxonomy 207RI0011X
Nuclear Cardiology Physician Taxonomy 207UN0901X

Record details

NPI number1053512632
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationArizona Heart Institute Ltd
Authorized official Ken Walsh — Cfo · (602) 266-2200
NPI enumeratedMay 30, 2007
Last updated in NPPESApril 20, 2008
Mailing addressPo Box 61773, Phoenix, AZ 85082-1773

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