ANDREI KOUZNETSOV MD NPI 1114000585

NPI Information

  • NPI: 1114000585
  • Provider Name: ANDREI KOUZNETSOV, MD
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Individual
  • Address: 750 WASHINGTON ST
    NEMC BOX #836
    BOSTON, MA
    ZIP 02111
  • Phone: (617) 636-5000

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NPI Details

Andrei Kouznetsov, MD is a nephrology internal medicine in Boston, 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. Andrei Kouznetsov, MD NPI is 1114000585. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

750 WASHINGTON ST
NEMC BOX #836
BOSTON, MA
ZIP 02111-526
Phone: (617) 636-5000

The enumeration date for this NPI number is 10/21/2006 and was last updated on 7/8/2007.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207RN0300XInternal MedicineNephrology217009MASSACHUSETTSYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1A38745MEDICARE ID-TYPE UNSPECIFIED
2I34556MEDICARE UPIN

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: 3/30/2025

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