Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gautam S Choure, MD

Individual provider Nephrology Physician · NPI 1245352574

Dr. Gautam S Choure, MD is a Nephrology in Mesa, Arizona. Qualified in 2001, 25 years ago. Practices with Desert Kidney Associates PLC, a 27-clinician group and accepts Medicare assignment. Licensed in Arizona, California and Pennsylvania.

Years since qualifying
25
Licensed in
AZ, CA, PA
In the registry since
2007
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

612 W Baseline Rd
Mesa, AZ 85210-6041
Phone: (480) 834-9039
Fax: (480) 964-7802
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 43064 (AZ)
Nephrology Physician Taxonomy 207RN0300X · Licence MT192264 (PA)
Nephrology Physician Taxonomy 207RN0300X · Licence A112711 (CA)

Record details

NPI number1245352574
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedApril 6, 2007
Last updated in NPPESMay 25, 2012

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2001 (25 years in practice)
Group practice Desert Kidney Associates Plc — 27 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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