| Kidney Care Consultants Pllc | |
|
32121 Woodward Ave Ste 200 Royal Oak MI 48073-0999 | |
| (248) 690-9946 | |
| (248) 268-3661 |
| Full Name | Kidney Care Consultants Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 32121 Woodward Ave Ste 200, Royal Oak, Michigan |
| Authorized Official Name and Position | Naushaba Khalid (OWNER) |
| Authorized Official Contact | 3135590505 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Care Consultants Pllc 17177 N Laurel Park Dr Ste 439 Livonia MI 48152-3938 Ph: (734) 462-0340 | Kidney Care Consultants Pllc 32121 Woodward Ave Ste 200 Royal Oak MI 48073-0999 Ph: (248) 690-9946 |
| NPI Number | 1467127472 |
|---|---|
| Provider Enumeration Date | 08/11/2021 |
| Last Update Date | 08/17/2021 |
| Medicare PECOS PAC ID | 6709281579 |
|---|---|
| Medicare Enrollment ID | O20210818000484 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467127472 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Naushaba Ishrath Khalid |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1679749626 PECOS PAC ID: 3476741158 Enrollment ID: I20101222000105 |
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