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MT. AUBURN NEPHROLOGY INC. NPI 1578563284


NPI Information

NPI: 1578563284
Provider Name: MT. AUBURN NEPHROLOGY, INC.
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 36D0346536

Address:
8251 PINE ROAD
SUITE 212
CINCINNATI, OH
ZIP 45236
Phone: (513) 841-0222
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MT. AUBURN NEPHROLOGY, INC. is a nephrology internal medicine in Cincinnati, 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. MT. AUBURN NEPHROLOGY, INC. NPI is 1578563284. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8251 PINE ROAD
SUITE 212
CINCINNATI, OH
ZIP 45236
Phone: (513) 841-0222
Fax: (513) 841-0638

The provider's authorized official is Shahzad Safdar .
The authorized official title is President and has the following contact phone number (513) 841-0222.

The CLIA number assigned to this NPI record is 36D0346536 - other with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 7/22/2005 and was last updated on 7/2/2009.


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 MedicineNephrology35044778OHIONo
2207RN0300XInternal MedicineNephrologyYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10908012MEDICAIDOHIO

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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