EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE – NPI #1619766789
Internal Medicine

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.

Health Care Provider Taxonomy Code for Internal Medicine

EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE is a provider located in MESA, AZ. NPPES has assigned the NPI number 1619766789 to EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE on May 05, 2025. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was last updated on Jan 13, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE below.

NPI Profile for
EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE

NPI Number
1619766789
Enumeration Date

(more than a year ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
EAST VALLEY KIDNEY SPECIALIST PLLC HEALTH CARE
Primary location
1910 S STAPLEY DR STE 120
MESA, AZ 85204-6676
Phone: (602) 525-5674 Fax:
1 Other location(s):
436 E Southern Ave Ste 1
Tempe, AZ 85282-5216
Phone: (480) 290-1822
Mailing address
2040 S ALMA SCHOOL RD STE 1
CHANDLER, AZ 85286-7076
Phone: Fax:
Organization Subpart
No
Authorized Official
SANDEEP PATIL
CEO
Phone: (718) 309-8994
Updated
Certification Date
Jan 13, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.