VALLEY KIDNEY CORP.


Address: 1600 W. Chandler Blvd., Suite #110, Chandler, AZ 85224-6100
Phone: 4805843491

VALLEY KIDNEY CORP. (NPI# 1386892610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1386892610
Entity Type Organization
Organization Name VALLEY KIDNEY CORP.
Practice Address 1600 W. Chandler Blvd.
Suite #110
Chandler
AZ 85224-6100
Mailing Address 1600 W. Chandler Blvd
Suite #110
Chandler
AZ 85224-6100
Practice Telephone 4805843491
Practice Fax Number 4805844693
Mailing Telephone 4805843491
Mailing Fax Number 4805844693
Enumeration Date 2008-08-28
Last Update Date 2012-03-13
Authorized Official Name DR. MASHOOD QADRI (PRESIDENT)
Authorized Official Telephone 4805843491
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM1300X Clinic/Center
Specialization: Multi-Specialty
AZ Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
AZ 214680 05

Office Location

Street Address 1600 W. CHANDLER BLVD.
SUITE #110
City CHANDLER
State AZ
Zip Code 85224-6100

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Taxonomy Information

Taxonomy Code 261QM1300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Multi-Specialty

Taxonomy Definition

Definition to come...

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1992127930 Michael B. Bayless & Associates, Inc Clinic/Center 5505 W Chandler Blvd, Ste. 11, Chandler, AZ 85226-3683 2014-01-10

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Competitor

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City CHANDLER
Zip Code 85224

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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