MITTAL KIDNEY AND DIALYSIS NPI 1750835724

NPI Information

NPI: 1750835724
Provider Name: MITTAL KIDNEY AND DIALYSIS
Classification: Clinical Nurse Specialist - 364SA2200X
Entity Type: Organization

Specialization: Adult Health

Address:
300 S WALNUT BEND RD
STE 12
CORDOVA, TN
ZIP 38018
Phone: (901) 767-0101
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MITTAL KIDNEY AND DIALYSIS is an adult health clinical nurse specialist in Cordova, TN. MITTAL KIDNEY AND DIALYSIS NPI is 1750835724. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

300 S WALNUT BEND RD
STE 12
CORDOVA, TN
ZIP 38018-293
Phone: (901) 767-0101
Fax: (901) 767-0304

The provider's authorized official is Sanjeev Kumar Mittal .
The authorized official title is Owner and has the following contact phone number (901) 767-0101.

The enumeration date for this NPI number is 8/8/2016 and was last updated on 8/8/2016.

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:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	364SA2200X	Clinical Nurse Specialist	Adult Health	21398	TENNESSEE	Yes

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: 5/5/2024

NPI Synchronization or Removal

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