Mendonca, Clyde C

Mendonca, Clyde C is an individual health care provider with primary practice located at 2141 E Warner Rd Suite 101, Tempe AZ 85284-3493. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Mendonca, Clyde C can be contacted via phone (480) 969-8714.

Contact Information

Primary practice address
2141 E Warner Rd Suite 101 Tempe AZ 85284-3493
Phone: (480) 969-8714
Fax: (480) 464-0189
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 229265 Massachusetts
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 40391 Arizona

Profile Details

NPI number 1710919246
LBN Legal business name Mendonca, Clyde C
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2006
Last updated Jun 19th, 2012 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710919246 NPPES
Arizona MEDICAID 347927

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