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RENAL CONSULTANT'S INC NPI 1770525289


NPI Information

NPI: 1770525289
Provider Name: RENAL CONSULTANT'S, INC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 36D0343562

Address:
2600 TUSCARAWAS ST W
CANTON, OH
ZIP 44708
Phone: (330) 454-9126
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RENAL CONSULTANT'S, INC is a nephrology internal medicine in Canton, OH. 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. RENAL CONSULTANT'S, INC NPI is 1770525289. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2600 TUSCARAWAS ST W
CANTON, OH
ZIP 44708-644
Phone: (330) 454-9126
Fax: (330) 454-9470

The provider's authorized official is Arup Maitra .
The authorized official title is President and has the following contact phone number (330) 454-9126.

The CLIA number assigned to this NPI record is 36D0343562 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/11/2006 and was last updated on 7/23/2013.


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 MedicineNephrologyOHIOYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
15289MEDICARE PINOHIO
2CL2108OTHERRAILROAD MEDICARE
39306791MEDICARE ID-TYPE UNSPECIFIEDOHIO
42185559MEDICAIDOHIO

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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