Mohan Krishna Bangaru
Internal Medicine, Nephrology in Sun City, AZ. Individual provider (NPI-1).
NPI number1275932121
StatusActive
Last updated in NPPESNov 2, 2026
Details
- NPI
- 1275932121
- Entity type
- Individual (NPI-1)
- Name
- Mohan Krishna Bangaru
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 16, 2014
- Certification date
- Nov 2, 2026
- Last updated
- Nov 2, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 75184 | AZ | Yes |
Practice location
10615 W Thunderbird Blvd Ste C100Sun City, AZ 85351-3097
Phone 623-974-1763 · Fax 623-972-2038
Mailing address
3333 E Camelback Rd Ste 180Phoenix, AZ 85018-2396
Phone 602-759-6883 · Fax 602-224-3358
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