PV MOUNTAIN MEDICAL PLLC NPI 1649733981

NPI Information

NPI: 1649733981
Provider Name: PV MOUNTAIN MEDICAL PLLC

Doing Business As: VALLEY KIDNEY ASSOCIATES

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1728 W GLENDALE AVE STE 204
PHOENIX, AZ
ZIP 85021
Phone: (623) 522-4935
Get Directions

PV MOUNTAIN MEDICAL PLLC is a nephrology internal medicine in Phoenix, 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. PV MOUNTAIN MEDICAL PLLC NPI is 1649733981. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Valley Kidney Associates.

The provider's business location address is:

1728 W GLENDALE AVE STE 204
PHOENIX, AZ
ZIP 85021-863
Phone: (623) 522-4935
Fax: (623) 522-4937

The provider's authorized official is Junaid I Qureshi .
The authorized official title is Owner and has the following contact phone number (480) 687-1280.

The enumeration date for this NPI number is 4/12/2019 and was last updated on 1/26/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine				No
2	207RN0300X	Internal Medicine	Nephrology			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	Z242652	OTHER	ARIZONA	PTAN
2	506223	MEDICAID	ARIZONA

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

NPI Synchronization or Removal

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