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IRC DC AZ LLC NPI 1386279255


NPI Information

NPI: 1386279255
Provider Name: IRC DC AZ, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
14780 W MOUNTAIN VIEW BLVD STE 109
SURPRISE, AZ
ZIP 85374
Phone: (623) 240-1110
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IRC DC AZ, LLC is a nephrology internal medicine in Surprise, 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. IRC DC AZ, LLC NPI is 1386279255. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

14780 W MOUNTAIN VIEW BLVD STE 109
SURPRISE, AZ
ZIP 85374-280
Phone: (623) 240-1110

The provider's authorized official is Arvind Durvasan .
The authorized official title is Owner and has the following contact phone number (623) 240-1110.

The enumeration date for this NPI number is 3/11/2020 and was last updated on 3/11/2020.


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
1830265MEDICAIDARIZONA

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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