Arizona Kidney Care LLC
Organization Active NPI Nephrology Physician · Kingman, AZ
NPI 1497231237 · NPPES record last updated Jul 21, 2018
Key facts
- NPI
- 1497231237
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Nephrology Physician 207RN0300X
- License
- 49359 (AZ)
- Legal business name
- ARIZONA KIDNEY CARE LLC
- Practice address
- 2901 N Stockton Hill Rd Ste B
Kingman, AZ 86401 - Phone
- (928) 718-0777
- Fax
- (928) 718-0877
- NPI assigned
- Jul 16, 2018
- Organization subpart
- No
Authorized official
- Name
- Sharmila Parvathaneni, M.D.
- Title
- Owner/Member Manager
- Phone
- (928) 718-0777
Practitioners 4
-
Harsha Aramada, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AZ
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20180921003213 | AZ | Part B Supplier - Clinic/Group Practice | 2466703970 |
Receives reassigned benefits from 4 practitioners Practice locations: Kingman, AZ; Bullhead City, AZ |
National Provider Directory
Locations
2901 N Stockton Hill Rd
Kingman, AZ 86401
Phone (520) 718-8881
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician |
207RN0300X | 49359 | AZ | Yes |
Addresses
Primary practice location
2901 N Stockton Hill Rd Ste B
Kingman, AZ 86401
Mailing address
PO Box 3837
Kingman, AZ 86402-3837
Phone (928) 718-0777
Other providers in Kingman, AZ
- Arizona Desert Dermatology and Surgery PC
- Arizona Institure of Medicine & Surgery
- Arizona Institute of Medicine & Surgery
- Arizona Institute of Medicine and Surgery
- Arizona Institute of Neuropsyciatric Disorders PC
- Jennifer L Aron
- Arthur J Ford MD PC
- Natarajan Asokan
- Aspire Medical Centers, LLC
- Shaghayegh Assar
All providers in Kingman, 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 Jul 21, 2018. 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.