AGILE HEALTHCARE LLC NPI 1992350813

NPI Information

NPI: 1992350813
Provider Name: AGILE HEALTHCARE, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
6036 N 19TH AVE STE 502
PHOENIX, AZ
ZIP 85015
Phone: (623) 738-0193
Get Directions

AGILE HEALTHCARE, LLC 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. AGILE HEALTHCARE, LLC NPI is 1992350813. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6036 N 19TH AVE STE 502
PHOENIX, AZ
ZIP 85015-143
Phone: (623) 738-0193

The provider's authorized official is Mhd Kussay Samkari .
The authorized official title is Md and has the following contact phone number (602) 741-5504.

The enumeration date for this NPI number is 8/7/2019 and was last updated on 9/12/2019.

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	Primary
1	207RP1001X	Internal Medicine	Pulmonary Disease	No
2	2084N0400X	Psychiatry & Neurology	Neurology	No
3	207RN0300X	Internal Medicine	Nephrology	Yes

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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