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NPI Code Detail

MEDICARE: NEPHRON CORPORATION

MEDICARE: NEPHRON CORPORATION
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1285654236
Entity Type Code : Organization
Provider Name (Legal Business Name) : NEPHRON CORPORATION
Provider Business Mailing Address
First Line : 605 OLD NORCROSS RD
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30045-4315
Country : US
Telephone Number : 770-962-1231
Fax Number : 770-513-2107
Provider Business Practice Location Address
First Line : 605 OLD NORCROSS RD
Second Line :
City : LAWRENCEVILLE
State : GA
Zip : 30045-4315
Country : US
Telephone Number : 770-962-1231
Fax Number : 770-513-2107
Authorized Official
Title or Position : MEDICAL DIRECTOR
Name : DR. KIRTI K SHAH
Credential : M.D.
Telephone Number : 770-962-1231
Provider Enumeration Date : 07/20/2006
Last Update Date : 04/07/2015

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