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KIDNEY CARE CENTER NOVI LLC NPI 1093188989


NPI Information

NPI: 1093188989
Provider Name: KIDNEY CARE CENTER NOVI LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
39575 W 10 MILE RD
SUITE 101
NOVI, MI
ZIP 48375
Phone: (815) 741-6830
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KIDNEY CARE CENTER NOVI LLC is a nephrology internal medicine in Novi, MI. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. KIDNEY CARE CENTER NOVI LLC NPI is 1093188989. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

39575 W 10 MILE RD
SUITE 101
NOVI, MI
ZIP 48375-949
Phone: (815) 741-6830
Fax: (815) 741-6832

The provider's authorized official is Morufu Alausa .
The authorized official title is Medical Director and has the following contact phone number (815) 741-6830.

The enumeration date for this NPI number is 11/2/2015 and was last updated on 11/6/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RN0300XInternal MedicineNephrologyMICHIGANYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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