Healthcare Provider Details

I. General information

NPI: 1093264558
Provider Name (Legal Business Name): KIDNEY PLUS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/26/2016
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3810 HOLLYWOOD BLVD STE 1
HOLLYWOOD FL
33021-6779
US

IV. Provider business mailing address

3810 HOLLYWOOD BLVD STE 1
HOLLYWOOD FL
33021-6779
US

V. Phone/Fax

Practice location:
  • Phone: 954-800-0953
  • Fax: 954-800-0956
Mailing address:
  • Phone: 954-800-0953
  • Fax: 954-800-0956

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. ABDUR RAHMAN BAIG
Title or Position: OWNER
Credential:
Phone: 954-800-0953