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PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC NPI 1821695826


NPI Information

NPI: 1821695826
Provider Name: PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
1406 DICKERSON ST
NEWARK, OH
ZIP 43055
Phone: (917) 926-2914
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PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC is a nephrology internal medicine in Newark, 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. PROVIDENCE KIDNEY & HYPERTENSION SPECIALISTS LLC NPI is 1821695826. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1406 DICKERSON ST
NEWARK, OH
ZIP 43055-844
Phone: (917) 926-2914

The provider's authorized official is Frank Boateng .
The authorized official title is Md and has the following contact phone number (917) 826-2914.

The enumeration date for this NPI number is 10/3/2020 and was last updated on 10/13/2020.


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 MedicineNephrologyYes

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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