SANDEEP MALLANAGOUDA PATIL M.D NPI 1912153222

NPI Information

Sandeep Mallanagouda Patil, M.D is a nephrology internal medicine in Mesa, AZ with 22 years of experience. 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. Sandeep Mallanagouda Patil, M.D NPI is 1912153222. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

301 S POWER RD
STE 103
MESA, AZ
ZIP 85206-241
Phone: (480) 834-9039
Fax: (480) 610-6189

The NPI 1912153222 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/18/2008 and was last updated on 11/9/2016.

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:

Other Identifiers

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

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