Comprehensive Kidney Disease Center, LLC
Internal Medicine, Nephrology in Huntsville, AL. Organization (NPI-2).
NPI number1649574286
StatusActive
Last updated in NPPESFeb 5, 2011
Details
- NPI
- 1649574286
- Entity type
- Organization (NPI-2)
- Legal business name
- Comprehensive Kidney Disease Center, LLC
- Organization subpart
- No
- Enumeration date
- Dec 22, 2010
- Last updated
- Feb 5, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207RN0300X | Internal Medicine, Nephrology | 25611 | AL | Yes |
Practice location
333 Whitesport Dr SwSuite 205
Huntsville, AL 35801-6454
Phone 256-489-3007 · Fax 256-489-3045
Mailing address
333 Whitesport Dr SwSuite 205
Huntsville, AL 35801-6454
Phone 256-489-3007 · Fax 256-489-3045
Authorized official
Amish B Shah
Manager
2564893007
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