GOVANI KIDNEY CARE LLC NPI 1578057865

NPI Information

  • NPI: 1578057865
  • Provider Name: GOVANI KIDNEY CARE LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 36D1021410
  • Address: 15644 MADISON AVE STE 211
    LAKEWOOD, OH
    ZIP 44107
  • Phone: (734) 223-5593

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NPI Details

GOVANI KIDNEY CARE LLC is a nephrology internal medicine in Lakewood, OH. 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. GOVANI KIDNEY CARE LLC NPI is 1578057865. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

15644 MADISON AVE STE 211
LAKEWOOD, OH
ZIP 44107-622
Phone: (734) 223-5593
Fax: (216) 521-5351

The provider's authorized official is Maulik Govani .
The authorized official title is Physician (solo Member) and has the following contact phone number (734) 223-5593.

The CLIA number assigned to this NPI record is 36D1021410 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/19/2018 and was last updated on 6/19/2018.

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 MedicineNephrology35.134182OHIOYes

What is NPI?

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This page was last updated on: 3/30/2025

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