MARYLAND KIDNEY GROUP PA NPI 1659336261

NPI Information

MARYLAND KIDNEY GROUP PA is a nephrology internal medicine in Baltimore, MD. 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. MARYLAND KIDNEY GROUP PA NPI is 1659336261. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6830 HOSPITAL DR
SUITE 204
BALTIMORE, MD
ZIP 21237-373
Phone: (443) 559-5063
Fax: (443) 559-5078

The provider's authorized official is Khalid K Al-talib .
The authorized official title is Head Physician and has the following contact phone number (443) 559-5063.

The CLIA number assigned to this NPI record is 21D0978590 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/18/2006 and was last updated on 12/27/2016.

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:

Other Identifiers

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