EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE
NPI 1619766789
Internal Medicine - Nephrology in Mesa, AZ

Q: What is East Valley Kidney Specialist PLLC Health Care's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since May 05, 2025

1910 S STAPLEY DR STE 120, MESA, AZ 85204(602) 525-5674 Get Directions Write a Review

NPPES record last updated: January 13, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 13, 2026, May 25, 2025, May 8, 2025 (3 updates tracked since 2025).

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About East Valley Kidney Specialist Pllc Health Care NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE (NPI 1619766789) is a healthcare organization registered as a nephrology in Mesa, Arizona and active in the NPI registry since May 2025. The organization maintains a secondary practice location in Tempe and lists Sandeep Mallanagouda Patil, Ceo, as its authorized official.

NPPES Registry Identity

NPI1619766789

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameEAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE

Location Address1910 S STAPLEY DR STE 120Mesa, AZ 85204-6676

Mailing Address2040 S Alma School Rd Ste 1Chandler, AZ 85286-7076

Phone(602) 525-5674

Organization SubpartNo

Authorized OfficialSandeep Mallanagouda PatilCeo · (718) 309-8994

Enumeration DateMay 5, 2025

Last NPPES UpdateJanuary 13, 20263 updates tracked since enumeration

NPPES CertifiedJanuary 13, 2026

✔ NPI 1619766789 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

Definition

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.

1910 S STAPLEY DR STE 120, Mesa, AZ 85204

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Secondary Practice Location 1

Location 1436 E Southern Ave Ste 1Tempe, AZ 85282-5216 · Phone (480) 290-1822

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

EVOLVE HEALTH AND WEIGHT SOLUTIONS PLLC

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