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NEPHROLOGY & INTENSIVE CARE ASSOC PLLC NPI 1689614414


NPI Information

NPI: 1689614414
Provider Name: NEPHROLOGY & INTENSIVE CARE ASSOC PLLC
Classification: Internal Medicine - 207RC0200X
Entity Type: Organization

Specialization: Critical Care Medicine

Address:
16151 19 MILE RD
SUITE 301
CLINTON TOWNSHIP, MI
ZIP 48038
Phone: (586) 228-7433
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NEPHROLOGY & INTENSIVE CARE ASSOC PLLC is a critical care medicine internal medicine in Clinton Township, MI. The provider is an internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. NEPHROLOGY & INTENSIVE CARE ASSOC PLLC NPI is 1689614414. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

16151 19 MILE RD
SUITE 301
CLINTON TOWNSHIP, MI
ZIP 48038-158
Phone: (586) 228-7433
Fax: (586) 412-3924

The provider's authorized official is Omokayode Adebisi Osobamiro .
The authorized official title is Owner and has the following contact phone number (586) 228-7433.

The enumeration date for this NPI number is 6/8/2006 and was last updated on 4/10/2024.


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
1207R00000XInternal Medicine4301059326MICHIGANNo
2207RC0200XInternal MedicineCritical Care Medicine4301059326MICHIGANYes
3207RN0300XInternal MedicineNephrology4301059326MICHIGANNo

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
110 4841551MEDICAIDMICHIGAN
21105018352OTHERMICHIGANBCBSM

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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