METRO DETROIT KIDNEY ASSOCIATES NPI 1538392378

NPI Information

NPI: 1538392378
Provider Name: METRO DETROIT KIDNEY ASSOCIATES
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
23995 GREATER MACK AVE
SUITE 102
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (586) 585-9727
Get Directions

METRO DETROIT KIDNEY ASSOCIATES is a nephrology internal medicine in Saint Clair Shores, 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. METRO DETROIT KIDNEY ASSOCIATES NPI is 1538392378. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

23995 GREATER MACK AVE
SUITE 102
SAINT CLAIR SHORES, MI
ZIP 48080-417
Phone: (586) 585-9727
Fax: (586) 933-2353

The provider's authorized official is Nayna S Nagrecha .
The authorized official title is Owner and has the following contact phone number (586) 585-9727.

The enumeration date for this NPI number is 8/27/2009 and was last updated on 1/16/2014.

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	4301076247	MICHIGAN	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	7658683	OTHER	MICHIGAN	AETNA PIN
2	I29494	MEDICARE UPIN	MICHIGAN
3	11-0502230-2	OTHER	MICHIGAN	BCBS PIN
4	151185	OTHER	MICHIGAN	GREAT LAKES HEALTH PLAN PIN

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

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

« Previous NPI

Next NPI »