Provider Demographics
NPI:1174009344
Name:KIDNEY AND HYPERTENSION OF THE PALM BEACHES PLLC
Entity Type:Organization
Organization Name:KIDNEY AND HYPERTENSION OF THE PALM BEACHES PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:YEHIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABDELWAHED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:561-612-8080
Mailing Address - Street 1:101 JOHN F KENNEDY DR
Mailing Address - Street 2:
Mailing Address - City:ATLANTIS
Mailing Address - State:FL
Mailing Address - Zip Code:33462-1119
Mailing Address - Country:US
Mailing Address - Phone:561-612-8080
Mailing Address - Fax:561-612-8084
Practice Address - Street 1:101 JOHN F KENNEDY DR
Practice Address - Street 2:
Practice Address - City:ATLANTIS
Practice Address - State:FL
Practice Address - Zip Code:33462-1119
Practice Address - Country:US
Practice Address - Phone:561-612-8080
Practice Address - Fax:561-612-8084
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-07-11
Last Update Date:2023-05-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME114122207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty