CLIFFORD E KASHTAN MD NPI 1699863274

NPI Information

NPI: 1699863274
Provider Name: CLIFFORD E KASHTAN, MD
Classification: Pediatrics - 2080P0210X
Entity Type: Individual

Specialization: Pediatric Nephrology

PECOS Registration: Yes

Address:
516 DELAWARE ST SE
PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777
Get Directions

Clifford E Kashtan, MD is a pediatric nephrology pediatrics in Minneapolis, MN. The provider is a pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. Clifford E Kashtan, MD NPI is 1699863274. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

516 DELAWARE ST SE
PWB FOURTH FLOOR, ROOM 4-100
MINNEAPOLIS, MN
ZIP 55455
Phone: (612) 626-6777

The NPI 1699863274 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 10/10/2006 and was last updated on 7/9/2007.

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	2080P0210X	Pediatrics	Pediatric Nephrology	28733	MINNESOTA	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	109962	OTHER	MINNESOTA	PATIENT CHOICE
2	2T289KA	OTHER	MINNESOTA	BLUE CROSS BLUE SHIELD
3	30852900	MEDICAID	WISCONSIN
4	629885100	MEDICAID	MINNESOTA
5	2105760	MEDICAID	OHIO
6	0506212	MEDICAID	IOWA
7	1009162	OTHER	MINNESOTA	PREFERRED ONE
8	31-24906	OTHER	MINNESOTA	MEDICA-CHOICE
9	370010935	OTHER	MINNESOTA	RAIL ROAD MEDICARE
10	HP13656	OTHER	MINNESOTA	HEALTH PARTNERS
11	768184	OTHER	MINNESOTA	AMERICA'S PPO
12	052035	OTHER	MINNESOTA	FAIRVIEW CARE GIVER ID
13	390000241	MEDICARE ID-TYPE UNSPECIFIED	MINNESOTA
14	101069	OTHER	MINNESOTA	U CARE
15	0012699	MEDICAID	MONTANA
16	31-74533	OTHER	MINNESOTA	MEDICA-PRIMARY
17	D81959	MEDICARE UPIN

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

NPI Synchronization or Removal

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