COMPREHENSIVE KIDNEY DISEASE CENTER LLC NPI 1649574286

NPI Information

NPI: 1649574286
Provider Name: COMPREHENSIVE KIDNEY DISEASE CENTER, LLC
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
333 WHITESPORT DR SW
SUITE 205
HUNTSVILLE, AL
ZIP 35801
Phone: (256) 489-3007
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COMPREHENSIVE KIDNEY DISEASE CENTER, LLC is a nephrology internal medicine in Huntsville, AL. 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. COMPREHENSIVE KIDNEY DISEASE CENTER, LLC NPI is 1649574286. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

333 WHITESPORT DR SW
SUITE 205
HUNTSVILLE, AL
ZIP 35801-454
Phone: (256) 489-3007
Fax: (256) 489-3045

The provider's authorized official is Amish B Shah .
The authorized official title is Manager and has the following contact phone number (256) 489-3007.

The enumeration date for this NPI number is 12/22/2010 and was last updated on 2/5/2011.

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	25611	ALABAMA	Yes

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
1	051519633SHA	OTHER		MEDICARE ID TYPE UNSPECIFIED
2	H99272	MEDICARE UPIN	ALABAMA

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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