Healthcare Provider Details

I. General information

NPI: 1306772926
Provider Name (Legal Business Name): ARK INSTITUTE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9169 W VAN BUREN ST
TOLLESON AZ
85353-2942
US

IV. Provider business mailing address

9169 W VAN BUREN ST
TOLLESON AZ
85353-2942
US

V. Phone/Fax

Practice location:
  • Phone: 623-233-6676
  • Fax:
Mailing address:
  • Phone: 602-284-0081
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. KANWARDEEP SACHDEVA
Title or Position: MANAGER
Credential: MD
Phone: 602-284-0081