RENAL CONSULTANTS PLLC NPI 1295720449

NPI Information

  • NPI: 1295720449
  • Provider Name: RENAL CONSULTANTS, PLLC
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • CLIA Number: 51D1100953
  • Address: 24 MACCORKLE AVE SW
    SUITE 201
    SOUTH CHARLESTON, WV
    ZIP 25303
  • Phone: (304) 720-5000

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NPI Details

RENAL CONSULTANTS, PLLC is a specialist in South Charleston, WV. 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. RENAL CONSULTANTS, PLLC NPI is 1295720449. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24 MACCORKLE AVE SW
SUITE 201
SOUTH CHARLESTON, WV
ZIP 25303-476
Phone: (304) 720-5000
Fax: (304) 720-5003

The provider's authorized official is Julian Llado Espiritu .
The authorized official title is Sole Proprietor and has the following contact phone number (304) 720-5000.

The CLIA number assigned to this NPI record is 51D1100953 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 9/14/2005 and was last updated on 3/31/2015.

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
1174400000XSpecialistYes

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
19310001OTHERWEST VIRGINIAMEDICARE PTAN
24000438000MEDICAIDWEST VIRGINIA

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: 11/21/2025

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