BETA MEDICAL PRACTICE PLLC NPI 1619754116

NPI Information

NPI: 1619754116
Provider Name: BETA MEDICAL PRACTICE PLLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
22631 GREATER MACK AVE STE 100
SAINT CLAIR SHORES, MI
ZIP 48080
Phone: (248) 331-5158
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BETA MEDICAL PRACTICE PLLC is a nephrology internal medicine in Saint Clair Shores, 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. BETA MEDICAL PRACTICE PLLC NPI is 1619754116. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

22631 GREATER MACK AVE STE 100
SAINT CLAIR SHORES, MI
ZIP 48080-055
Phone: (248) 331-5158

The provider's authorized official is Hilana Kaafarani .
The authorized official title is President/owner and has the following contact phone number (248) 331-5158.

The enumeration date for this NPI number is 9/11/2023 and was last updated on 9/11/2023.

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
1	207RN0300X	Internal Medicine	Nephrology			Yes

What is NPI?

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This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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