KIDNEY CARE CENTER SOUTHERN MARYLAND LLC – NPI #1568823649
Internal Medicine

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.

KIDNEY CARE CENTER SOUTHERN MARYLAND LLC is a provider located in LEONARDTOWN, MD. NPPES has assigned the NPI number 1568823649 to KIDNEY CARE CENTER SOUTHERN MARYLAND LLC on March 16, 2016. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RN0300X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Nephrology

The NPI profile was previously updated about 9 years ago on Jun 01, 2017. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KIDNEY CARE CENTER SOUTHERN MARYLAND LLC below.

NPI Profile for
KIDNEY CARE CENTER SOUTHERN MARYLAND LLC

NPI Number
1568823649
Enumeration Date

(more than 10 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KIDNEY CARE CENTER SOUTHERN MARYLAND LLC
Primary location
23503 HOLLYWOOD ROAD
SUITE 104
LEONARDTOWN, MD 20650-3795
Phone: (240) 309-4172 Fax: (240) 309-4195
Mailing address
PO BOX 3877
JOLIET, IL 60434-3877
Phone: (815) 741-6830 Fax: (815) 741-6832
Organization Subpart
No
Authorized Official
MORUFU ALAUSA
MEDICAL DIRECTOR
Phone: (815) 741-6830
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RN0300X
- Internal Medicine / Nephrology (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.