SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC NPI 1134426893

NPI Information

  • NPI: 1134426893
  • Provider Name: SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 1100 E UNIVERSITY DR
    TEMPE, AZ
    ZIP 85281
  • Phone: (602) 277-4429

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NPI Details

SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC is a nephrology internal medicine in Tempe, AZ. The provider is 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. SOUTHWEST KIDNEY INSTITUTE VASCULAR CENTER LLC NPI is 1134426893. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1100 E UNIVERSITY DR
TEMPE, AZ
ZIP 85281-401
Phone: (602) 277-4429

The provider's authorized official is Randy Cooper .
The authorized official title is President and has the following contact phone number (602) 277-4429.

The enumeration date for this NPI number is 2/16/2011 and was last updated on 7/14/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrologyYes

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This page was last updated on: 3/30/2025

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