MWRDC OF ANNAPOLIS NPI 1528256633

NPI Information

NPI: 1528256633
Provider Name: MWRDC OF ANNAPOLIS

Doing Business As: ANNAPOLIS DIALYSIS CENTER PA

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1908 FOREST DR
ANNAPOLIS, MD
ZIP 21401
Phone: (410) 897-9854
Get Directions

MWRDC OF ANNAPOLIS is a nephrology internal medicine in Annapolis, MD. 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. MWRDC OF ANNAPOLIS NPI is 1528256633. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Annapolis Dialysis Center Pa.

The provider's business location address is:

1908 FOREST DR
ANNAPOLIS, MD
ZIP 21401-340
Phone: (410) 897-9854

The provider's authorized official is Edward Dudek .
The authorized official title is President and has the following contact phone number (301) 907-3939.

The enumeration date for this NPI number is 10/15/2007 and was last updated on 6/16/2008.

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	D0029010	MARYLAND	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	CK8259	OTHER		RAILROAD
2	496601500	MEDICAID	MARYLAND
3	S090	MEDICARE PIN	MARYLAND

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: 11/14/2023

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