OrganizationActive
Havasu Cardiac Surgery PLLC
NPI 1063811859 · Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician · Lake Havasu City, AZ
Provider details
- NPI number
- 1063811859
- Entity type
- Organization
- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Pankaj Kulshrestha, Owner/Member(917) 536-6453
- License
- 36397 (AZ)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1741 Mesquite Ave
Ste. A200
Lake Havasu City, AZ 86403-5695
Phone: (917) 536-6453
Fax: (888) 491-7482
Street-level locationGet directions
Mailing address
Po Box 707
Lake Havasu City, AZ 86405-0707
Registry dates
- Enumerated
- 2014-08-18
- Last updated
- 2017-02-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.