Mohave Nephrology,Pc

LBN: Mohave Nephrology,Pc
Mohave Nephrology,Pc is an health care organization with primary practice located at 3535 E Andy Devine Ave , Kingman AZ 86401-3412. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Mohave Nephrology,Pc can be contacted via phone (928) 757-2050, or through Palanichamy, Vijayavel via phone (928) 757-2050.

Contact Information

Primary practice address
3535 E Andy Devine Ave Kingman AZ 86401-3412
Phone: (928) 757-2050
Fax: (928) 757-2020
Website:
Map and Directions
Authorized official contact:
Name: Palanichamy, Vijayavel Doctor of Medicine (MD)
Phone: (928) 757-2050

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 27022 Arizona

Profile Details

NPI number 1669798823
LBN Legal business name Mohave Nephrology,Pc
DBA Doing business as
Authorized official Palanichamy, Vijayavel Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 13th, 2010
Last updated Feb 4th, 2014 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1669798823 NPPES
Arizona MEDICAID 442682-02

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