EASTERN SUFFOLK NEPHROLOGY PC NPI 1174602189

NPI Information

NPI: 1174602189
Provider Name: EASTERN SUFFOLK NEPHROLOGY, PC

Other Name: PURSHOTAM NAGWANI, MD

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
758 HARRISON AVE
RIVERHEAD, NY
ZIP 11901
Phone: (631) 727-5112
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EASTERN SUFFOLK NEPHROLOGY, PC is a nephrology internal medicine in Riverhead, NY. 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. EASTERN SUFFOLK NEPHROLOGY, PC NPI is 1174602189. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Purshotam Nagwani, Md.

The provider's business location address is:

758 HARRISON AVE
RIVERHEAD, NY
ZIP 11901-744
Phone: (631) 727-5112
Fax: (631) 727-9061

The provider's authorized official is Purshotam Nagwani .
The authorized official title is Md and has the following contact phone number (631) 727-5112.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 6/18/2008.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology	143580	NEW YORK	Yes

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
1	WANV51	MEDICARE PIN	NEW YORK

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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