KIDNEY DISEASE SPECIALIST PLLC (NPI# 1104189448) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104189448 |
| Entity Type | Organization |
| Organization Name | KIDNEY DISEASE SPECIALIST PLLC |
| Practice Address |
41750 Michigan Ave Canton MI 48188-2679 |
| Practice Telephone | 7343980444 |
| Mailing Telephone | 7343980444 |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2012-06-21 |
| Authorized Official Name | DR. KASHIF MAJEED CHAUDHRY (M.D) |
| Authorized Official Telephone | 2489432986 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 4301077743 | MI | Allopathic & Osteopathic Physicians |
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301077743 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
41750 MICHIGAN AVE |
| City | CANTON |
| State | MI |
| Zip Code | 48188-2679 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295837367 | Majid M Taj | Internal Medicine | 41750 Michigan Ave, Suite A, Canton, MI 48188-2679 | 2006-09-01 |
| 1861818460 | Majid M Taj Md Pllc | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2014-03-07 |
| 1366706301 | Syed M Ala Md Pllc | Internal Medicine | 41750 Michigan Ave, Canton, MI 48188-2679 | 2012-06-25 |
| 1649425471 | Choice Urgent Care of Michigan P.c | Clinic/Center | 41750 Michigan Ave, Suite B, Canton, MI 48188-2679 | 2008-11-20 |
| 1801068788 | Choice Urgent Care of Michigan, PC | Clinic/Center | 41750 Michigan Ave, Canton, MI 48188-2679 | 2008-03-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437766425 | Kesha Glimps | Home Health Aide | 513 Cherry Orchard, Canton, MI 48188 | 2020-09-24 |
| 1881222578 | Darlenda Knuckles | Licensed Practical Nurse | 43825 Michigan Ave, Canton, Mi 48188, Canton, MI 48188 | 2020-03-30 |
| 1023646049 | Nikeyta Catrice Evans | Licensed Practical Nurse | 43825 Michign Ave Suite 2, Canton, MI 48188 | 2020-03-27 |
| 1013473925 | Yen Do Ruiz | Pharmacist | 41460 Haggerty Circle South, Canton, MI 48188 | 2019-02-15 |
| 1366938607 | Abidi Mehdi Medical, Pllc | Internal Medicine | 44237 Michigan Avenue, Canton, MI 48188 | 2018-07-10 |
| 1720589427 | Audrey Imbur | Physical Therapist | 4111 S. Canton Center Rd, Canton, MI 48188 | 2018-02-27 |
| 1639687700 | Tanveer Hussain | Physical Therapist | 3439 Brooklyn Dr, Canton, MI 48188 | 2018-01-11 |
| 1376054833 | Cherry Hill Village Pharmacy LLC | Pharmacy | 50429 Independence St, Canton, MI 48188 | 2017-10-23 |
| 1396262101 | Enid Alexandra Moore | Social Worker | 40946 Crossbow Cir, Apt 201, Canton, MI 48188 | 2017-08-23 |
| 1922520865 | Marc Slotnick | Peer Specialist | 43825 Michigan Ave., Canton, MI 48188 | 2017-07-12 |
| Find all providers in zip 48188 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851382857 | P Suresh Nuchikat | Internal Medicine | 2600 Tuscarawas St W #160, Canton, OH 44708-4696 | 2005-10-31 |
| 1568450534 | Pramod Anand Bhargava | Internal Medicine | 46550 Hills and Dales Rd Nw, Canton, OH 44708 | 2005-10-12 |
| 1316943707 | Luis F Soto | Internal Medicine | 4689 Fulton Dr Nw, Canton, OH 44718-2379 | 2005-06-22 |
| 1821094210 | John R Garton | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2005-06-22 |
| 1235544198 | Bhavnish Bucktowarsing | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2014-06-30 |
| 1760788368 | Dayanand Makey | Internal Medicine | 4650 Hills and Dales Rd Nw, Canton, OH 44708 | 2011-01-31 |
| 1942473962 | Abhijit Kontamwar | Internal Medicine | 2600 Tuscarawas St W, Suite 160, Canton, OH 44708-4644 | 2008-04-10 |
| 1154411437 | North Atlanta Nephrology LLC | Internal Medicine | 219 Riverstone Dr, Canton, GA 30114-5256 | 2006-10-15 |
| 1699701995 | Najam Sabreen | Internal Medicine | 219 Riverstone Dr, Canton, GA 30114-5256 | 2006-06-25 |
| 1770525289 | Renal Consultant's, Inc | Internal Medicine | 2600 Tuscarawas St W, Canton, OH 44708-4644 | 2006-06-11 |
| Find all providers in CANTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.