WILSON NEPHROLOGY-INTERNAL MEDICINE PA NPI 1942293717

NPI Information

NPI: 1942293717
Provider Name: WILSON NEPHROLOGY-INTERNAL MEDICINE PA
Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

CLIA Number: 34D0864410

Address:
2503 WOOTEN BLVD
WILSON, NC
ZIP 27893
Phone: (252) 243-2268
Get Directions

WILSON NEPHROLOGY-INTERNAL MEDICINE PA is a nephrology internal medicine in Wilson, NC. The provider is 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. WILSON NEPHROLOGY-INTERNAL MEDICINE PA NPI is 1942293717. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2503 WOOTEN BLVD
WILSON, NC
ZIP 27893
Phone: (252) 243-2268
Fax: (252) 243-2917

The provider's authorized official is Anwar D Al-haidary .
The authorized official title is Owner/president and has the following contact phone number (252) 243-2268.

The CLIA number assigned to this NPI record is 34D0864410 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/26/2005 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RN0300X	Internal Medicine	Nephrology		NORTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	890140N	MEDICAID	NORTH CAROLINA
2	0140N	OTHER	NORTH CAROLINA	BLUE CROSS BLUE SHIELD

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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