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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