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Organization
EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE
Active
Organization
EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDEEP MALLANAGOUDA PATIL MD (CEO)
(718) 309-8994
Entity
Organization
Contact information
Practice address
1910 S STAPLEY DR STE 120, MESA, AZ 85204-6676
(602) 525-5674
Mailing address
2040 S ALMA SCHOOL RD STE 1, CHANDLER, AZ 85286-7076
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
05/05/2025
Last updated
01/13/2026
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