KIDNEY AND HYPERTENSION CENTER PC NPI 1346394855

NPI Information

NPI: 1346394855
Provider Name: KIDNEY AND HYPERTENSION CENTER PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 38D1011737

Address:
2410 NW EDENBOWER BLVD STE 176
ROSEBURG, OR
ZIP 97471
Phone: (541) 957-1133
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KIDNEY AND HYPERTENSION CENTER PC is a nephrology internal medicine in Roseburg, OR. 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 AND HYPERTENSION CENTER PC NPI is 1346394855. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2410 NW EDENBOWER BLVD STE 176
ROSEBURG, OR
ZIP 97471-830
Phone: (541) 957-1133
Fax: (541) 957-1799

The provider's authorized official is Neil Kumar .
The authorized official title is Owner Physician and has the following contact phone number (541) 957-1133.

The CLIA number assigned to this NPI record is 38D1011737 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/22/2007 and was last updated on 2/24/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	MD23318	OREGON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	286437	MEDICAID	OREGON

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: 5/5/2024

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