Kidney Disease Consultants, P.C. in Southaven - Specialist

Kidney Disease Consultants, P.C. - NPI 1134260870

Kidney Disease Consultants, P.C. is a Specialist in Southaven, Mississippi. Kidney Disease Consultants, P.C. practices all healthcare services and medical treatments related to Specialist. The NPI Number for Kidney Disease Consultants, P.C. is 1134260870. The last update date is 2015-04-03.

Kidney Disease Consultants, P.C.'s current location address is Po Box 366, Southaven, Mississippi. You can contact this provider via phone number 6625361859. The mailing address for Kidney Disease Consultants, P.C. is Po Box 366, Southaven, Mississippi. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kidney Disease Consultants, P.C.
Address Po Box 366, Southaven, Mississippi
Phone Number 6625361859
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Adeleye Olufemi
Credentials M.D.
Telephone Number 9012895206

NPI Number Detail

NPI Number 1134260870
Provider Enumeration Date 2007-02-08
Last Updated Date 2015-04-03

Provider Mailing Address Detail

Address Po Box 366
City Southaven
State Mississippi (MS)
Post Code 386710005
Phone Number 6625361859
Fax Number

Provider's Primary Taxonomy Detail

Speciality Specialist
Taxonomy 174400000X
Definition:
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
3724848 TN --
231379826 MS BLUE CROSS
6530562 MS --
4093914 TN BCBS

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FAQs about Kidney Disease Consultants, P.C.

What is the Kidney Disease Consultants, P.C.'s 1134260870?

The Kidney Disease Consultants, P.C.'s NPI (National Provider Identifier) Number is 1134260870. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Kidney Disease Consultants, P.C.?

The Kidney Disease Consultants, P.C. is situated at Po Box 366, in the city of Southaven, state of MS, with the zip code 386710005.

What is Kidney Disease Consultants, P.C.'s area of expertise and its corresponding taxonomy classification?

The Kidney Disease Consultants, P.C.'s field of specialization is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Kidney Disease Consultants, P.C. receive its 1134260870 assignment from the Centers for Medicare & Medicaid Services?

The Kidney Disease Consultants, P.C. was assigned its 1134260870 by the Centers for Medicare & Medicaid Services on 2007-02-08.

When was the information related to Kidney Disease Consultants, P.C. most recently updated or refreshed?

The details pertaining to the Kidney Disease Consultants, P.C., including its address, specialty, and other relevant information, were last updated or refreshed on 2015-04-03.

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