Active NPI
Valley Kidney Corp.
- Multi-Specialty Clinic/Center
- Chandler, AZ
National Provider Identifier
1386892610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Multi-Specialty Clinic/Center
- Legal business name
- VALLEY KIDNEY CORP.
- Practice address
- 1600 W. Chandler Blvd.
Suite #110
Chandler, AZ 85224-6100 - Phone
- (480) 584-3491
- Fax
- (480) 584-4693
- NPI assigned
- Aug 28, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Mashood Qadri, MD
- Title
- President
- Phone
- (480) 584-3491
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Multi-Specialty Clinic/Center | 261QM1300X | AZ | Primary |
Addresses
Primary practice location
1600 W. Chandler Blvd.
Suite #110
Chandler, AZ 85224-6100
Mailing address
1600 W. Chandler Blvd
Suite #110
Chandler, AZ 85224-6100
Phone (480) 584-3491
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 214680 | Medicaid | AZ |
National Provider Directory
National Provider DirectoryLocations
1673 E Monument PLZ Cir
Casa Grande, AZ 85122
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219881600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1331596800000",
"number": "1386892610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1600 W. CHANDLER BLVD",
"address_2": "SUITE #110",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246100",
"telephone_number": "480-584-3491",
"fax_number": "480-584-4693"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1600 W. CHANDLER BLVD.",
"address_2": "SUITE #110",
"city": "CHANDLER",
"state": "AZ",
"postal_code": "852246100",
"telephone_number": "480-584-3491",
"fax_number": "480-584-4693"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "VALLEY KIDNEY CORP.",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-28",
"last_updated": "2012-03-13",
"status": "A",
"authorized_official_last_name": "QADRI",
"authorized_official_first_name": "MASHOOD",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "480-584-3491",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "261QM1300X",
"taxonomy_group": "",
"desc": "Clinic/Center, Multi-Specialty",
"state": "AZ",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "214680",
"state": "AZ"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Chandler, AZ
- Valley Heart Rhythm Specialists
- Valley Hyperbarics LLC
- Valley Implant Centers
- Valley Infectious Diseases Center, PLLC
- Valley Integrated Plastic Surgery Services
- Valley Oximetry Incorporated
- Valley Pain Intervention Center
- Valley Perinatal Services, LLC
- Valley Primary Care LLC
- Valley Women for Women, PC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.