Organization · NPI-2

Cleveland Kidney Care, LLC

Internal Medicine · Rocky River, OH

NPI number1255958500
StatusActive
Last updated in NPPESJul 7, 2020

Details

NPI
1255958500
Entity type
Organization (NPI-2)
Legal business name
Cleveland Kidney Care, LLC
Organization subpart
No
Enumeration date
Jul 2, 2020
Certification date
Jul 7, 2020
Last updated
Jul 7, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207R00000X Internal Medicine––Yes
207RN0300X Internal Medicine, Nephrology––

Other names

  • Cleveland Kidney Doctors (Doing Business As)

Practice location

5 Eleven Riv
Rocky River, OH 44116-1777

Phone 216-401-8323

Mailing address

5 Eleven Riv
Rocky River, OH 44116-1777

Phone 216-401-8323

Authorized official

Wassim Antoine El-Hitti
Ceo/Physician
2164018323

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