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VALLEY KIDNEY CENTER INC NPI 1013962729


NPI Information

NPI: 1013962729
Provider Name: VALLEY KIDNEY CENTER INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
13943 N 91ST AVE
STE H101
PEORIA, AZ
ZIP 85381
Phone: (623) 977-1331
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VALLEY KIDNEY CENTER INC is a nephrology internal medicine in Peoria, AZ. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. VALLEY KIDNEY CENTER INC NPI is 1013962729. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

13943 N 91ST AVE
STE H101
PEORIA, AZ
ZIP 85381-689
Phone: (623) 977-1331
Fax: (623) 977-1449

The provider's authorized official is Bahadur Samra .
The authorized official title is Administrator and has the following contact phone number (602) 564-0047.

The enumeration date for this NPI number is 5/23/2006 and was last updated on 6/1/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1333266MEDICAIDARIZONA
2H20971MEDICARE UPINARIZONA
3Z70546MEDICARE PINARIZONA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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