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Organization
PV MOUNTAIN MEDICAL PLLC
Active
Organization
PV MOUNTAIN MEDICAL PLLC
Active
Other names
Valley Kidney Associates
Organization subpart
No
Provider details
NPI number
Authorized official
JUNAID I QURESHI MD (OWNER)
(480) 687-1280
Entity
Organization
Contact information
Practice address
1728 W GLENDALE AVE STE 204, PHOENIX, AZ 85021-8863
(623) 522-4935
(623) 522-4937
Mailing address
4531 N 16TH ST STE 114, PHOENIX, AZ 85016-5344
(480) 839-3313
(602) 296-0404
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
506223
—
AZ
01
—
Z242652
PTAN
AZ
Enumeration date
04/12/2019
Last updated
01/26/2023
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