Healthcare Provider Details

I. General information

NPI: 1811815491
Provider Name (Legal Business Name): KAIRON MEDICAL LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

838 W ELLIOT RD STE 101
GILBERT AZ
85233-5162
US

IV. Provider business mailing address

4420 N 29TH ST
PHOENIX AZ
85016-5813
US

V. Phone/Fax

Practice location:
  • Phone: 480-374-7354
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2085R0204X
TaxonomyVascular & Interventional Radiology Physician
License Number
License Number State

VIII. Authorized Official

Name: JOEL RAINWATER
Title or Position: OWNER
Credential: MD
Phone: 480-374-7345