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RENAL MEDICAL CARE PC NPI 1912048414


NPI Information

NPI: 1912048414
Provider Name: RENAL MEDICAL CARE, PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
830 OAK ST
SUITE 125E
BROCKTON, MA
ZIP 02301
Phone: (508) 588-1505
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RENAL MEDICAL CARE, PC is a nephrology internal medicine in Brockton, MA. 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 MEDICAL CARE, PC NPI is 1912048414. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

830 OAK ST
SUITE 125E
BROCKTON, MA
ZIP 02301-168
Phone: (508) 588-1505
Fax: (508) 588-1508

The provider's authorized official is Shreekant Chopra .
The authorized official title is Partner and has the following contact phone number (508) 588-1505.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 2/14/2011.


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

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
1M13588MEDICARE PINMASSACHUSETTS
2C12115OTHERMEDICARE RAILROAD
39753052MEDICAIDMASSACHUSETTS

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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