Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Az Kidney Dr LLC

Organization Nephrology Physician · NPI 1114654274

Az Kidney Dr LLC is a Nephrology Physician in Tempe, Arizona. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

436 E Southern Ave
Tempe, AZ 85282-5216
Phone: (480) 336-2039
Fax: (602) 207-8899
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1114654274
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kussay Alsamkari — Owner · (602) 741-5504
NPI enumeratedAugust 8, 2022
Last updated in NPPESAugust 8, 2022
Certification dateAugust 8, 2022
Mailing address436 E Southern Ave, Tempe, AZ 85282-5216

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