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VALLEY KIDNEY INSTITUTE NPI 1972741130


NPI Information

NPI: 1972741130
Provider Name: VALLEY KIDNEY INSTITUTE
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 45D0964821

Address:
900 PLAZA DRIVE
STE #5
MISSION, TX
ZIP 78572
Phone: (956) 583-0095
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VALLEY KIDNEY INSTITUTE is a nephrology internal medicine in Mission, TX. 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 INSTITUTE NPI is 1972741130. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

900 PLAZA DRIVE
STE #5
MISSION, TX
ZIP 78572-049
Phone: (956) 583-0095
Fax: (956) 583-2118

The provider's authorized official is Mohammad Hosein Kotaki .
The authorized official title is President and has the following contact phone number (956) 583-0095.

The CLIA number assigned to this NPI record is 45D0964821 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/27/2009 and was last updated on 1/27/2009.


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
1207RN0300XInternal MedicineNephrologyK0877TEXASYes

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
1G35638MEDICARE UPINTEXAS
2127635404MEDICAIDTEXAS
3K0877MEDICARE PINTEXAS

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: 5/5/2024

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