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NPI Code Detail

MEDICARE: CLEVELAND KIDNEY & HYPERTENSION CONSULTANTS INC

MEDICARE: CLEVELAND KIDNEY & HYPERTENSION CONSULTANTS INC
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
1207RN0300XNephrology Physician

Other Identifiers

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

General Provider Information

NPI Number : 1700074770
Entity Type Code : Organization
Provider Name (Legal Business Name) : CLEVELAND KIDNEY & HYPERTENSION CONSULTANTS INC
Provider Business Mailing Address
First Line : 25301 EUCLID AVE
Second Line :
City : EUCLID
State : OH
Zip : 44117-2609
Country : US
Telephone Number : 216-261-6263
Fax Number : 216-262-4964
Provider Business Practice Location Address
First Line : 25301 EUCLID AVE
Second Line :
City : EUCLID
State : OH
Zip : 44117-2609
Country : US
Telephone Number : 216-261-6263
Fax Number : 216-262-4964
Authorized Official
Title or Position : BILLING CLERK
Name : JAN DICKARD
Credential :
Telephone Number : 216-261-6263
Provider Enumeration Date : 10/04/2007
Last Update Date : 08/24/2010

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Directions to “CLEVELAND KIDNEY & HYPERTENSION CONSULTANTS INC ” Practice Location

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