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RENAL HYPERTENSION CLINIC NPI 1063526663


NPI Information

NPI: 1063526663
Provider Name: RENAL HYPERTENSION CLINIC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 01D0304795

Address:
1540 E MAIN ST
DOTHAN, AL
ZIP 36301
Phone: (334) 793-2618
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RENAL HYPERTENSION CLINIC is a nephrology internal medicine in Dothan, AL. 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 HYPERTENSION CLINIC NPI is 1063526663. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1540 E MAIN ST
DOTHAN, AL
ZIP 36301-012
Phone: (334) 793-2618
Fax: (334) 792-7353

The provider's authorized official is Ravindranath V. Kantamneni .
The authorized official title is Owner/president and has the following contact phone number 33479326128.

The CLIA number assigned to this NPI record is 01D0304795 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/19/2006 and was last updated on 8/22/2020.


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: 11/14/2023

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