ADVANCED NEPHROLOGY & HYPERTENSION NPI 1780069567

NPI Information

  • NPI: 1780069567
  • Provider Name: ADVANCED NEPHROLOGY & HYPERTENSION
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 36D2106046
  • Address: 2205 N LIMESTONE ST
    SPRINGFIELD, OH
    ZIP 45503
  • Phone: (937) 521-3022

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NPI Details

ADVANCED NEPHROLOGY & HYPERTENSION is a nephrology internal medicine in Springfield, OH. 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. ADVANCED NEPHROLOGY & HYPERTENSION NPI is 1780069567. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2205 N LIMESTONE ST
SPRINGFIELD, OH
ZIP 45503-675
Phone: (937) 521-3022

The provider's authorized official is Sanju A Varghese .
The authorized official title is Physician/ Owner and has the following contact phone number (937) 521-3022.

The CLIA number assigned to this NPI record is 36D2106046 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 7/22/2015 and was last updated on 8/12/2015.

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
1207RN0300XInternal MedicineNephrologyYes

What is NPI?

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This page was last updated on: 3/30/2025

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