Healthcare Provider Details

I. General information

NPI: 1861071060
Provider Name (Legal Business Name): KIDNEY CARE ASSOCIATES PA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/05/2021
Last Update Date: 02/25/2025
Certification Date: 02/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 CHRISTIANA MEDICAL CTR
NEWARK DE
19702-1654
US

IV. Provider business mailing address

400 CHRISTIANA MEDICAL CTR
NEWARK DE
19702-1654
US

V. Phone/Fax

Practice location:
  • Phone: 302-722-8800
  • Fax: 302-722-8784
Mailing address:
  • Phone: 302-722-8800
  • Fax: 302-722-8784

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. DHRUVAL PATEL
Title or Position: OWNER
Credential: MD
Phone: 609-410-0006