MEDICARE: DR. JOSEPH CHINDO MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	390200000X	Student in an Organized Health Care Education/Training Program
2	207RN0300X	Nephrology Physician	67420	AZ

General Provider Information

NPI Number	:	1841785219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JOSEPH CHINDO MD

Provider Business Mailing Address
First Line	:	3333 E CAMELBACK RD STE 180
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85018-2396
Country	:	US
Telephone Number	:	602-759-6883
Fax Number	:

Provider Business Practice Location Address
First Line	:	1851 MESQUITE AVE STE 216
Second Line	:
City	:	LAKE HAVASU CITY
State	:	AZ
Zip	:	86403-5681
Country	:	US
Telephone Number	:	928-854-5358
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/27/2018
Last Update Date	:	07/21/2023

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