PD NEPHROLOGY LLC NPI 1942451380

NPI Information

NPI: 1942451380
Provider Name: PD NEPHROLOGY LLC
Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
10004 KENNERLY RD
SUITE 103A
SAINT LOUIS, MO
ZIP 63128
Phone: (314) 543-5235
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PD NEPHROLOGY LLC is an end-stage renal disease (esrd) treatment clinic center in Saint Louis, MO. PD NEPHROLOGY LLC NPI is 1942451380. The provider is registered as an organization entity type.

The provider's business location address is:

10004 KENNERLY RD
SUITE 103A
SAINT LOUIS, MO
ZIP 63128-173
Phone: (314) 543-5235
Fax: (314) 543-5216

The provider's authorized official is Nabil Tauk .
The authorized official title is Medical Director and has the following contact phone number (314) 543-5235.

The enumeration date for this NPI number is 10/3/2008 and was last updated on 2/24/2009.

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	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment	LC0921675	MISSOURI	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: 4/28/2024

NPI Synchronization or Removal

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