Healthcare Provider Details

I. General information

NPI: 1841217825
Provider Name (Legal Business Name): NEPHROLOGY ASSOCIATES, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2006
Last Update Date: 10/21/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

807 SOUTHWESTERN RUN
YOUNGSTOWN OH
44514-3688
US

IV. Provider business mailing address

807 SOUTHWESTERN RUN
YOUNGSTOWN OH
44514-3688
US

V. Phone/Fax

Practice location:
  • Phone: 330-729-0059
  • Fax: 330-729-9297
Mailing address:
  • Phone: 330-729-0059
  • Fax: 330-729-9297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174400000X
TaxonomySpecialist
License Number35067831
License Number StateOH

VIII. Authorized Official

Name: ERDAL SARAC
Title or Position: PRESIDENT
Credential: M.D.
Phone: 330-729-0059