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

Individual provider Nephrology Physician · NPI 1912153222

Sandeep Mallanagouda Patil, MD is a Nephrology in Mesa, Arizona. Qualified in 2002, 24 years ago. Accepts Medicare assignment. Licensed in Arizona and Louisiana.

Years since qualifying
24
Licensed in
AZ, LA
In the registry since
2008
Specialties on file
2
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

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.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 50371 (AZ)
Internal Medicine Physician Taxonomy 207R00000X · Licence 202074 (LA)

Record details

NPI number1912153222
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 18, 2008
Last updated in NPPESNovember 3, 2025
Certification dateNovember 3, 2025

Medicare enrollment

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

Medicare specialtyNEPHROLOGY
Medical schoolOTHER
Graduated 2002 (24 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

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