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Organization

ISHAN N VKC, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SHAILESH J PATEL D.O. (PRESIDENT)
(623) 977-1331
Entity
Organization

Contact information

Practice address
13943 N 91ST AVE, H101, 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

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
329105
AZ
Enumeration date
05/19/2006
Last updated
07/10/2012
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