Provider Demographics
NPI:1083647358
Name:NEPHROLOGY ASSOCIATES LLC
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NEPHROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BUARI
Authorized Official - Middle Name:A
Authorized Official - Last Name:OSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:301-567-9245
Mailing Address - Street 1:P.O.BOX 7431
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20792-7431
Mailing Address - Country:US
Mailing Address - Phone:301-567-9245
Mailing Address - Fax:301-567-9247
Practice Address - Street 1:6192 OXON HILL RD
Practice Address - Street 2:SUITE 409
Practice Address - City:OXON HILL
Practice Address - State:MD
Practice Address - Zip Code:20745-3114
Practice Address - Country:US
Practice Address - Phone:301-567-9245
Practice Address - Fax:301-567-9247
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-09
Last Update Date:2008-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD46551207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDF97845Medicare UPIN
MDG00570Medicare PIN