Clinic For Kidney Diseases Pa in Jacksonville - Nephrology

Clinic For Kidney Diseases Pa - NPI 1467471672

Clinic For Kidney Diseases Pa is a Nephrology in Jacksonville, Florida. Clinic For Kidney Diseases Pa practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Clinic For Kidney Diseases Pa is 1467471672. The last update date is 2010-01-20.

Clinic For Kidney Diseases Pa's current location address is 2585 Herschel St, Jacksonville, Florida. You can contact this provider via phone number 9043882678 and fax number 9043886776. The mailing address for Clinic For Kidney Diseases Pa is 2585 Herschel St, Jacksonville, Florida. To know further, please read the information below!

Provider Profile Detail

Provider Organization Clinic For Kidney Diseases Pa
Address 2585 Herschel St, Jacksonville, Florida
Phone Number 9043882678
Fax Number 9043886776
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Jayadevappa Dinesh
Credentials MD
Telephone Number 9043882678

NPI Number Detail

NPI Number 1467471672
Provider Enumeration Date 2006-07-19
Last Updated Date 2010-01-20

Provider Mailing Address Detail

Address 2585 Herschel St
City Jacksonville
State Florida (FL)
Post Code 322044557
Phone Number 9043882678
Fax Number 9043886776

Provider's Primary Taxonomy Detail

Speciality Nephrology
Taxonomy 207Rn0300X
Licence No ME24762
Definition:
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
255215900 FL --
99457 FL BCBS GROUP #

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FAQs about Clinic For Kidney Diseases Pa

What is the Clinic For Kidney Diseases Pa's unique identification number?

The Clinic For Kidney Diseases Pa has been assigned the NPI (National Provider Identifier) Number 1467471672 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you share the physical location details of Clinic For Kidney Diseases Pa?

The Clinic For Kidney Diseases Pa is situated at 2585 Herschel St, in the city of Jacksonville, state of FL, with the zip code 322044557.

What is the area of specialization for Clinic For Kidney Diseases Pa, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Clinic For Kidney Diseases Pa is Nephrology, and the corresponding taxonomy code that categorizes this area of expertise is 207Rn0300X.

When was the Clinic For Kidney Diseases Pa's 1467471672 issued?

The Clinic For Kidney Diseases Pa's 1467471672 was issued on 2006-07-19.

When was the information regarding Clinic For Kidney Diseases Pa, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Clinic For Kidney Diseases Pa, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2010-01-20.

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