KIDNEY SPECIALISTS P.C. NPI 1477680205

NPI Information

  • NPI: 1477680205
  • Provider Name: KIDNEY SPECIALISTS, P.C.
  • Classification: Specialist - 174400000X
  • Entity Type: Organization
  • Address: 1325 EASTMORELAND AVE
    SUITE 335
    MEMPHIS, TN
    ZIP 38104
  • Phone: (901) 726-1199

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NPI Details

KIDNEY SPECIALISTS, P.C. is a specialist in Memphis, TN. 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. KIDNEY SPECIALISTS, P.C. NPI is 1477680205. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1325 EASTMORELAND AVE
SUITE 335
MEMPHIS, TN
ZIP 38104-519
Phone: (901) 726-1199
Fax: (901) 729-0794

The provider's authorized official is Nawar E Mansour .
The authorized official title is Physician and has the following contact phone number (901) 729-1199.

The enumeration date for this NPI number is 2/28/2007 and was last updated on 2/8/2012.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistMD0000026012TENNESSEEYes

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
13721979MEDICARE PINTENNESSEE

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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