Sandeep Mallanagouda Patil, MD | |
301 S Power Rd, Ste 103, Mesa, AZ 85206-5241 | |
(480) 834-9039 | |
(480) 610-6189 |
Full Name | Sandeep Mallanagouda Patil |
---|---|
Gender | Male |
Speciality | Nephrology |
Experience | 22 Years |
Location | 301 S Power Rd, Mesa, Arizona |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1912153222 | NPI | - | NPPES |
030611 | Medicaid | AZ | |
1893846 | Medicaid | LA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 202074 (Louisiana) | Secondary |
207RN0300X | Internal Medicine - Nephrology | 50371 (Arizona) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
San Carlos Dialysis (fmc) | Peridot, AZ | Dialysis facility |
Globe Dialysis (fmc) | Miami, AZ | Dialysis facility |
Southwest Mesa Dialysis (dsi) | Mesa, AZ | Dialysis facility |
Banner Desert Medical Center | Mesa, AZ | Hospital |
Honorhealth Scottsdale Shea Medical Center | Scottsdale, AZ | Hospital |
Cobre Valley Regional Medical Center | Globe, AZ | Hospital |
Scottsdale Osborn Medical Center | Scottsdale, AZ | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Southwest Kidney Institute Plc | 8224930987 | 79 |
Entity Name | Southwest Kidney Institute Plc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659316008 PECOS PAC ID: 8224930987 Enrollment ID: O20040211001069 |
Entity Name | Southwest Kidney Institute Scottsdale Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1902231012 PECOS PAC ID: 3577798313 Enrollment ID: O20131101000457 |
Mailing Address | Practice Location Address |
---|---|
Sandeep Mallanagouda Patil, MD 2149 E Warner Rd, 102, Tempe, AZ 85284-3494 Ph: (480) 610-6100 | Sandeep Mallanagouda Patil, MD 301 S Power Rd, Ste 103, Mesa, AZ 85206-5241 Ph: (480) 834-9039 |
Dr. Emmanuel A Bayongan, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Rd, Mesa, AZ 85202 Phone: 480-543-2034 Fax: 480-512-6089 | |
Dr. Sanjeev Gopal, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6424 E Broadway Rd, 104-105, Mesa, AZ 85206 Phone: 602-802-8700 Fax: 602-802-8799 | |
Mouhsen H Alhakeem, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 1400 S Dobson Road, Attn Amanda Gump/hospitalist, Mesa, AZ 85202 Phone: 480-412-6788 Fax: 480-412-6848 | |
Dr. Bindu Jayavelu, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 301 S Power Rd Ste 103, Mesa, AZ 85206 Phone: 480-325-7535 Fax: 480-325-7462 | |
Mr. Robert Bobek Arashahi, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 5652 E Baseline Rd, Mesa, AZ 85206 Phone: 480-477-7166 | |
Mr. Robert P Tully, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 7525 E Broadway Rd, Ste 2, Mesa, AZ 85208 Phone: 480-981-9800 Fax: 480-985-9465 | |
Joshua D Cohen, MD Nephrology Medicare: Accepting Medicare Assignments Practice Location: 6750 E Baywood Ave, 301, Mesa, AZ 85206 Phone: 480-835-6100 Fax: 480-461-4261 |