Organization
ARIZONA KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARMILA PARVATHANENI M.D. (OWNER/MEMBER MANAGER)
(928) 718-0777
Entity
Organization
Contact information
Practice address
2901 N STOCKTON HILL RD STE B, KINGMAN, AZ 86401
(928) 718-0777
(928) 718-0877
Mailing address
PO BOX 3837, KINGMAN, AZ 86402-3837
(928) 718-0777
(928) 718-0877
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
49359
AZ
Other
Enumeration date
07/16/2018
Last updated
07/21/2018
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