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MIDWEST NEPHROLOGY GROUP PLLC NPI 1306396775


NPI Information

NPI: 1306396775
Provider Name: MIDWEST NEPHROLOGY GROUP PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 37D2100658

Address:
9230 E RENO AVE
SUITE B
MIDWEST CITY, OK
ZIP 73130
Phone: (405) 737-4900
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MIDWEST NEPHROLOGY GROUP PLLC is a nephrology internal medicine in Midwest City, OK. 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. MIDWEST NEPHROLOGY GROUP PLLC NPI is 1306396775. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

9230 E RENO AVE
SUITE B
MIDWEST CITY, OK
ZIP 73130-337
Phone: (405) 737-4900
Fax: (405) 737-3606

The provider's authorized official is Wudeneh Zewdie .
The authorized official title is President and has the following contact phone number (405) 737-4900.

The CLIA number assigned to this NPI record is 37D2100658 - physician office with a certificate type of Certificate of Accreditation.

The enumeration date for this NPI number is 10/10/2016 and was last updated on 10/10/2016.


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 MedicineNephrologyOKLAHOMAYes

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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