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SOHAN L. DUA M.D. NPI 1215149026


NPI Information

NPI: 1215149026
Provider Name: SOHAN L. DUA M.D.

Doing Business As: VALLEY RENAL MEDICAL GROUP

Classification: Specialist - 174400000X
Entity Type: Organization

CLIA Number: 05D0865424

Address:
8349 RESEDA BLVD
SUITE G
NORTHRIDGE, CA
ZIP 91324
Phone: (818) 886-5827
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SOHAN L. DUA M.D. is a specialist in Northridge, CA. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. SOHAN L. DUA M.D. NPI is 1215149026. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Valley Renal Medical Group.

The provider's business location address is:

8349 RESEDA BLVD
SUITE G
NORTHRIDGE, CA
ZIP 91324-622
Phone: (818) 886-5827
Fax: (818) 775-9351

The provider's authorized official is Sohan Dua .
The authorized official title is Owner and has the following contact phone number (818) 886-7300.

The CLIA number assigned to this NPI record is 05D0865424 - other practitioner with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/4/2007 and was last updated on 10/1/2012.


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
1174400000XSpecialistA25072CALIFORNIAYes

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
1GR0041970MEDICAIDCALIFORNIA
2A83173MEDICARE UPIN
3W4724MEDICARE PIN

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

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.