SOUTHERN RENAL SPECIALISTS LLC NPI 1942745922

NPI Information

  • NPI: 1942745922
  • Provider Name: SOUTHERN RENAL SPECIALISTS LLC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 44D2251599
  • Address: 927 E PRUDHOMME ST
    OPELOUSAS, LA
    ZIP 70570
  • Phone: (337) 594-0675

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NPI Details

SOUTHERN RENAL SPECIALISTS LLC is a nephrology internal medicine in Opelousas, LA. 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. SOUTHERN RENAL SPECIALISTS LLC NPI is 1942745922. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

927 E PRUDHOMME ST
OPELOUSAS, LA
ZIP 70570-240
Phone: (337) 594-0675

The provider's authorized official is Donovan Schultz .
The authorized official title is President and has the following contact phone number (615) 327-3061.

The CLIA number assigned to this NPI record is 44D2251599 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 12/29/2016 and was last updated on 10/5/2023.

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: 11/21/2025

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