Individual Healthcare Provider
Mitul Kanzaria, MD
Provider's NPPES record last updated: July 7, 2025
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1639499023
- Primary Specialty
- Internal Medicine — Interventional Cardiology
- Practice Location
- Sunnyside, Washington
- Sole Proprietor
- Yes
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 7:49 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Interventional Cardiology
Allopathic & Osteopathic Physicians
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.
Taxonomy code 207RI0011X Internal Medicine
Cardiovascular Disease
Allopathic & Osteopathic Physicians
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Taxonomy code 207RC0000X
Provider-Reported License Information
- Internal Medicine (Washington)
- MD61239644
- Internal Medicine (New Jersey)
- 25MA10166600
Practice Locations
Practice Location
1016 Tacoma Ave
Sunnyside, Washington 98944-2263
Phone: (509) 837-1500
Additional Practice Location
318 Chris Gaupp Dr
Galloway, New Jersey 08205-4460
Phone: (609) 404-9900
Fax: (609) 404-3653
Additional Practice Location
833 Chestnut St
Suite 220
Philadelphia, Pennsylvania 19107-4414
Phone: (215) 955-6000
Additional Practice Location
502 W 4th Ave
Toppenish, Washington 98948-1616
Phone: (809) 865-3105
Fax: (509) 865-1519
Record Information
- Enumeration Date
- June 8, 2010
- Provider's NPPES Record Last Updated
- July 7, 2025
- Certification Date
- July 7, 2025
- NPISignal NPPES Dataset
- August 2026
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