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

East Valley Kidney Specialist PLLC Health Care

Organization Nephrology Physician · NPI 1619766789

East Valley Kidney Specialist PLLC Health Care is a Nephrology Physician in Mesa, Arizona. Works from 2 locations. Registered with an NPI since 2025.

In the registry since
2025
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1910 S Stapley Dr Ste 120
Mesa, AZ 85204-6676
Phone: (602) 525-5674
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 436 E Southern Ave Ste 1, Tempe, AZ 85282-5216 — (480) 290-1822

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1619766789
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sandeep Patil — Ceo · (718) 309-8994
NPI enumeratedMay 5, 2025
Last updated in NPPESJanuary 13, 2026
Certification dateJanuary 13, 2026
Mailing address2040 S Alma School Rd Ste 1, Chandler, AZ 85286-7076

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