Akdhc, LLC
Organization Active NPI Nephrology Physician · Peoria, AZ
NPI 1164611596 · NPPES record last updated Nov 27, 2024
Key facts
- NPI
- 1164611596
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- Legal business name
- AKDHC, LLC
- Practice address
- 13090 N 94TH Dr
Ste 210
Peoria, AZ 85381-4257 - Phone
- (623) 974-1763
- Fax
- (623) 972-2038
- NPI assigned
- Oct 22, 2007
- Organization subpart
- No
Authorized official
- Name
- Ms. Kristen Klein
- Title
- Credentialist
- Phone
- (602) 926-1696
Other NPIs on the same Medicare enrollment 41
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040211000250 | AZ | Part B Supplier - Clinic/Group Practice | 8123912136 |
Receives reassigned benefits from 152 practitioners 41 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
National Provider Directory
Locations
13090 N 94th Dr
Ste 210
Peoria, AZ 85381
Phone (623) 972-6700
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | Yes |
Addresses
Primary practice location
13090 N 94TH Dr
Ste 210
Peoria, AZ 85381-4257
Mailing address
3333 E Camelback Rd Ste 180
Phoenix, AZ 85018-2396
Phone (602) 759-6883
Other providers in Peoria, AZ
- Ruben Aguilera
- Sharron Rae Ahles
- Muhammad Vikas Ahmad
- Aiz Behavioral Health LLC
- Ayomikun Ajulo
- Akdhc, LLC-Phoenix Access Center 1
- Patience Ronke Akhimien
- Saifuldeen Awf Abdulrahman Al Qaisi
- Marwan Al-Ani
- Orwah Al-Khalili
All providers in Peoria, AZ · Nephrology Physician in Arizona
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.