Organization
VALLEY KIDNEY INSTITUTE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANUP RAI MD (OWNER)
(623) 977-1331
Entity
Organization
Contact information
Practice address
13943 N 91ST AVE, STE H-101, PEORIA, AZ 85381-3689
(623) 977-1331
(623) 977-1449
Mailing address
5150 N 16TH ST, STE B232, PHOENIX, AZ 85016-3990
(623) 977-1331
(623) 977-1449
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
41789
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
430888
—
AZ
Enumeration date
05/19/2006
Last updated
06/01/2012
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