Organization
KIDNEY GUARDIAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MHD KUSSAY SAMKARI MD (OWNER/PROVIDER)
(480) 895-8734
Entity
Organization
Contact information
Practice address
436 E SOUTHERN AVE, TEMPE, AZ 85282-5216
(480) 297-7361
(602) 207-8899
Mailing address
PO BOX 10741, TEMPE, AZ 85284-0013
(602) 741-5504
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
03/05/2019
Last updated
12/01/2021
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