Ishan N VKC, Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

ISHAN N VKC, INC.

Practice address

13943 N 91St Ave
H101
Peoria, AZ 85381-3689

Phone

(623) 977-1331

Fax

(623) 977-1449

NPI assigned

May 19, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Shailesh J Patel, D.O.

Title

President

Phone

(623) 977-1331

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1341878400000",
    "number": "1821042540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5150 N 16TH ST",
            "address_2": "STE B232",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850163990",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13943 N 91ST AVE",
            "address_2": "H101",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853813689",
            "telephone_number": "623-977-1331",
            "fax_number": "623-977-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISHAN N VKC, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2012-07-10",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "SHAILESH",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "623-977-1331",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "329105",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Peter M Isleta, RPH
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• Nephrology Physician in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Nephrology Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.

Verify at the official NPI Registry.