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MOHAVE NEPHROLOGY,PC
NPI 1669798823
Internal Medicine - Nephrology in Kingman, AZ

Active since April 13, 2010CLIA 03D2143433 · Waiver
3535 E ANDY DEVINE AVE, KINGMAN, AZ 86401(928) 757-2050(928) 757-2020 Get Directions Write a Review

NPPES record last updated: February 4, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mohave Nephrology,pc NPPES

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

MOHAVE NEPHROLOGY,PC (NPI 1669798823) is a healthcare organization registered as a nephrology in Kingman, Arizona and active in the NPI registry since April 2010. The organization holds a CLIA Waiver certificate valid through January 29, 2028 and lists Vijayavel Palanichamy, Pres, as its authorized official.

NPPES Registry Identity

NPI1669798823
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameMOHAVE NEPHROLOGY,PC
Location Address3535 E ANDY DEVINE AVEKingman, AZ 86401-3412
Mailing Address3535 E Andy Devine AveKingman, AZ 86401-3412 · (928) 757-2050 · Fax (928) 757-2020
Phone(928) 757-2050
Fax(928) 757-2020
Organization SubpartNo
Authorized OfficialVijayavel PalanichamyPres · (928) 757-2050
Enumeration DateApril 13, 2010
Last NPPES UpdateFebruary 4, 2014
✔ NPI 1669798823 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
License✔ Licensed in AZ · 27022
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.
3535 E ANDY DEVINE AVE, Kingman, AZ 86401
Open in Google Maps ↗

Other Identifiers 3

Medicare UPING44078AZ
Medicaid442682-02AZ
Medicare PIN29876AZ

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 03D2143433

Mohave Nephrology · Kingman, AZ
Active · expires Jan 29, 2028
CLIA Number03D2143433
Laboratory TypePhysician Office
Certificate Effective DateJanuary 30, 2026
Certificate Expiration DateJanuary 29, 2028
Laboratory DirectorVijayavel Palanichamy
Laboratory Phone(928) 757-2050
Laboratory LocationMohave Nephrology3535 E Andy Devine Ave, Kingman, AZ 86401
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

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

SHEILA R MANE MD
Internal Medicine
3535 E ANDY DEVINE AVE
KINGMAN, AZ 86401
Mohave County (928) 681-3960
VIJAYAVEL PALANICHAMY MD
Internal Medicine (Nephrology)
3535 E ANDY DEVINE AVE
KINGMAN, AZ 86401
Mohave County (928) 757-2050

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mohave Nephrology,pc's NPI number?

The NPI number for Mohave Nephrology,pc is 1669798823. It was assigned to this organization in the NPPES registry on April 13, 2010.

Where is Mohave Nephrology,pc located?

Mohave Nephrology,pc is located at 3535 E Andy Devine Ave, Kingman, AZ 86401. The listed phone number is (928) 757-2050.

What is Mohave Nephrology,pc's specialty?

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

Does Mohave Nephrology,pc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 03D2143433) is associated with this NPI, valid through January 29, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Mohave Nephrology,pc was last updated on February 4, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.