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Contact Information

ARIZONA KIDNEY CARE LLC
2901 N STOCKTON HILL RD STE B
KINGMAN, AZ86401
 Phone: 928-718-0777
 Fax: 928-718-0877
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nephrology

207RN0300X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for ARIZONA KIDNEY CARE LLC

NPI Number 1497231237
LBN Legal business name ARIZONA KIDNEY CARE LLC
Authorized official SHARMILA PARVATHANENI - (OWNER/MEMBER MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 07/16/2018
Last updated 07/21/2018 - About 8 years ago
Identifiers
AZ License # 49359
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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