Upa Pllc Nephrology in Jackson - Pediatric Nephrology
Upa Pllc Nephrology - NPI 1790838563
Upa Pllc Nephrology is a Pediatric Nephrology in Jackson, Mississippi. Upa Pllc Nephrology practices all healthcare services and medical treatments related to Pediatric Nephrology. The NPI Number for Upa Pllc Nephrology is 1790838563. The last update date is 2020-08-22.
Upa Pllc Nephrology's current location address is 2500 N State St, Jackson, Mississippi. You can contact this provider via phone number 6018158985. The mailing address for Upa Pllc Nephrology is 2500 N State St, Jackson, Mississippi. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Upa Pllc Nephrology |
|---|---|
| Address | 2500 N State St, Jackson, Mississippi |
| Phone Number | 6018158985 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGER |
|---|---|
| Authorized Official Name | Evans B Owen |
| Credentials | M.D. |
| Telephone Number | 6019845214 |
NPI Number Detail
| NPI Number | 1790838563 |
|---|---|
| Provider Enumeration Date | 2007-01-18 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2500 N State St |
|---|---|
| City | Jackson |
| State | Mississippi (MS) |
| Post Code | 392164500 |
| Phone Number | 6018158985 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Nephrology |
|---|---|
| Taxonomy | 2080P0210X |
|
Definition: A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 9014114 | MS | -- |
Post Comment/ Review Below
What is the unique identification code assigned to Upa Pllc Nephrology by the Centers for Medicare & Medicaid Services?
The Upa Pllc Nephrology has been issued the NPI (National Provider Identifier) 1790838563. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Upa Pllc Nephrology's facilities are geographically located?
The facilities of Upa Pllc Nephrology are physically situated at the following location: 2500 N State St, Jackson, MS, 392164500.
What is Upa Pllc Nephrology's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Upa Pllc Nephrology is Pediatric Nephrology, and the taxonomy code that categorizes this field of expertise is 2080P0210X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790838563 to Upa Pllc Nephrology?
The Centers for Medicare & Medicaid Services originally issued the 1790838563 to Upa Pllc Nephrology on 2007-01-18.
When was the information related to Upa Pllc Nephrology most recently updated or refreshed?
The details pertaining to the Upa Pllc Nephrology, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.