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UPPER VALLEY KIDNEY CLINIC NPI 1053549261


NPI Information

NPI: 1053549261
Provider Name: UPPER VALLEY KIDNEY CLINIC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 36D0348686

Address:
1015 FAIR RD
SIDNEY, OH
ZIP 45365
Phone: (937) 498-0040
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UPPER VALLEY KIDNEY CLINIC is a nephrology internal medicine in Sidney, 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. UPPER VALLEY KIDNEY CLINIC NPI is 1053549261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1015 FAIR RD
SIDNEY, OH
ZIP 45365-947
Phone: (937) 498-0040
Fax: (937) 498-0067

The provider's authorized official is Naveed Ul Haq .
The authorized official title is Sole Proprieter and has the following contact phone number (937) 335-9633.

The CLIA number assigned to this NPI record is 36D0348686 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 6/25/2009 and was last updated on 6/25/2009.


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 MedicineNephrology30080974OHIOYes

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
1H60302MEDICARE UPINOHIO

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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