Provider Demographics
NPI:1235185729
Name:YUMA NEPHROLOGY,P.C.
Entity Type:Organization
Organization Name:YUMA NEPHROLOGY,P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT YUMA NEPHROLOGY,P.C.
Authorized Official - Prefix:DR
Authorized Official - First Name:KAMAL ELDIN
Authorized Official - Middle Name:MOHAMED
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD, FASN, FACP
Authorized Official - Phone:928-329-8331
Mailing Address - Street 1:1220 W 24TH ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-8705
Mailing Address - Country:US
Mailing Address - Phone:928-329-8331
Mailing Address - Fax:928-329-8528
Practice Address - Street 1:1220 W 24TH ST
Practice Address - Street 2:SUITE 1
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-8705
Practice Address - Country:US
Practice Address - Phone:928-329-8331
Practice Address - Fax:928-329-8528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-26
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty