Southwest Kidney Institute, PLC
Business Name
Physician First Name
Berne
Physician Last Name
Yee
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
2610 N 3rd Street
85004
85004
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(480)610-6100
Business Fax
(480)610-6189
ASPA Effective Date
12/15/1987
Business Name
Physician First Name
Ronald
Physician Middle Initial
H.
Physician Last Name
Hyde
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
337 E. Coronado Road
85004-1583
85004-1583
Suite
Suite 201
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)252-8081
Business Website Address
Business Fax
(602)252-1520
ASPA Effective Date
12/6/1993
Business Name
Physician First Name
Richard
Physician Middle Initial
P
Physician Last Name
Flick
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
7362 W Thunderbird Road
85381
85381
Suite
Suite 101
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(480)610-6100
Business Fax
(623)843-8426
ASPA Effective Date
9/11/1995
Business Name
Physician First Name
Fredrick
Physician Middle Initial
V
Physician Last Name
Osorio
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
301 S Power Road
85206
85206
Suite
Suite 103
City
Mesa
State
AZ
County
Maricopa
Business Phone Number
(480)610-6100
Business Website Address
Business Fax
(480)610-6189
ASPA Effective Date
6/5/2000
Business Name
Physician First Name
Melissa
Physician Middle Initial
M.
Physician Last Name
Go
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
337 E. Coronado Road
85004-1583
85004-1583
Suite
Suite 201
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)252-8081
Business Website Address
Business Fax
(602)252-1520
ASPA Effective Date
7/10/2000
Business Name
Physician First Name
Rajiv
Physician Last Name
Poduval
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
337 E. Coronado Road
85004-1583
85004-1583
Suite
Suite 201
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(602)252-8081
Business Website Address
Business Fax
(602)252-1520
ASPA Effective Date
5/2/2005
Business Name
Physician First Name
Jeffrey
Physician Last Name
Laiserin
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
2610 N 3rd Street
85004
85004
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(480)610-6100
Business Fax
(480)610-6189
ASPA Effective Date
12/1/2003
Business Name
Physician First Name
Randy
Physician Last Name
Cooper
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
2620 N. 3rd Street
85004
85004
Suite
Suite 100
City
Phoenix
State
AZ
County
Maricopa
Business Phone Number
(480)610-6152
Business Website Address
Business Fax
(602)265-0271
ASPA Effective Date
12/1/2003
Business Name
Physician First Name
Mandip
Physician Middle Initial
S
Physician Last Name
Kang
Practice Name
Specialty
Nephrology
Office Designation
Primary
Address
7362 W Thunderbird Road
85381
85381
Suite
Suite 101
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(480)610-6100
Business Fax
(623)843-8426
ASPA Effective Date
5/2/2005
Business Name
Physician First Name
Lynn
Physician Middle Initial
M
Physician Last Name
Church
Practice Name
Specialty
Nurse Practitioner
Office Designation
Primary
Address
7362 W Thunderbird Road
85381
85381
Suite
Suite 101
City
Peoria
State
AZ
County
Maricopa
Business Phone Number
(480)610-6100
Business Fax
(623)843-8426
ASPA Effective Date
7/5/2005