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

Havasu Cardiac Surgery PLLC

Organization Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · NPI 1063811859

Havasu Cardiac Surgery PLLC is a Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Lake Havasu City, Arizona. Licensed in Arizona. Registered with an NPI since 2014.

Licensed in
AZ
In the registry since
2014
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1741 Mesquite Ave Ste A200
Lake Havasu City, AZ 86403-5695
Phone: (917) 536-6453
Fax: (888) 491-7482
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician (primary) Taxonomy 208G00000X · Licence 36397 (AZ)

Record details

NPI number1063811859
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Pankaj Kulshrestha — Owner/Member · (917) 536-6453
NPI enumeratedAugust 18, 2014
Last updated in NPPESFebruary 22, 2017
Mailing addressPo Box 707, Lake Havasu City, AZ 86405-0707

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