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.
GA license #026402taxonomy 207RN0300X
Identifiers
Type
Value
Notes
05 (GA)
000291079Q
05 (GA)
630423104A
05 (GA)
000291079A
01 (GA)
GRP2930
MEDICARE GROUP
05 (GA)
000291079M
05 (GA)
000291079Z
05 (GA)
000291079O
05 (GA)
000291079K
05 (GA)
630423104C
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
Nephrology and Endocrinolgy Consultants
Type code 5recorded 2019-05-02
Nephrology and Endocrinolgy Consultants
Type code 5recorded 2006-11-08
Practice context
Multi-provider organization.
1 individual provider on file at this primary address.
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