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S S MARATHE MD PA NPI 1013108992


NPI Information

NPI: 1013108992
Provider Name: S S MARATHE MD PA

Doing Business As: MEDICAL SPECIALISTS PA

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
4869 PALM COAST PKWY NW
SUITE 2
PALM COAST, FL
ZIP 32137
Phone: (386) 445-2003
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S S MARATHE MD PA is a nephrology internal medicine in Palm Coast, FL. 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. S S MARATHE MD PA NPI is 1013108992. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Medical Specialists Pa.

The provider's business location address is:

4869 PALM COAST PKWY NW
SUITE 2
PALM COAST, FL
ZIP 32137-661
Phone: (386) 445-2003

The provider's authorized official is Shriram S Marathe .
The authorized official title is President and has the following contact phone number (904) 824-8158.

The enumeration date for this NPI number is 8/6/2007 and was last updated on 6/19/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineNo
2207RP1001XInternal MedicinePulmonary DiseaseNo
3207RN0300XInternal 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
197652AMEDICARE PINFLORIDA
2250270401MEDICAIDFLORIDA

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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