Provider Type Icon

KIDNEY HYPERTENSION CLINIC PC NPI 1043327513


NPI Information

NPI: 1043327513
Provider Name: KIDNEY HYPERTENSION CLINIC, PC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
605 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30045
Phone: (770) 962-1231
Get Directions

KIDNEY HYPERTENSION CLINIC, PC is a nephrology internal medicine in Lawrenceville, GA. 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. KIDNEY HYPERTENSION CLINIC, PC NPI is 1043327513. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

605 OLD NORCROSS RD
LAWRENCEVILLE, GA
ZIP 30045-315
Phone: (770) 962-1231

The provider's authorized official is Kirti K Shah .
The authorized official title is President and has the following contact phone number (770) 962-1231.

The enumeration date for this NPI number is 8/23/2006 and was last updated on 11/15/2007.


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
1CG3048OTHERGEORGIARAILROAD MEDICARE
2GRP2651MEDICARE ID-TYPE UNSPECIFIEDGEORGIA
3GRP2651MEDICARE PINGEORGIA

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

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.