COMORIN KIDNEYCARE PLLC NPI 1528480365

NPI Information

  • NPI: 1528480365
  • Provider Name: COMORIN KIDNEYCARE PLLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Address: 14555 LEVAN ROAD
    SUITE 308
    LIVONIA, MI
    ZIP 48154
  • Phone: (734) 288-3370

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NPI Details

COMORIN KIDNEYCARE PLLC is a nephrology internal medicine in Livonia, MI. 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. COMORIN KIDNEYCARE PLLC NPI is 1528480365. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

14555 LEVAN ROAD
SUITE 308
LIVONIA, MI
ZIP 48154-052
Phone: (734) 288-3370
Fax: (734) 785-8421

The provider's authorized official is Victoria Jean Greenwood .
The authorized official title is Biller and has the following contact phone number (313) 221-5152.

The enumeration date for this NPI number is 1/14/2014 and was last updated on 3/22/2022.

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
1207RN0300XInternal MedicineNephrology4301084038MICHIGANYes

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
14301084038MEDICAIDMICHIGAN

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: 3/30/2025

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