Provider Demographics
NPI:1245752583
Name:KIDNEY CARE ASSOCIATES LLC
Entity Type:Organization
Organization Name:KIDNEY CARE ASSOCIATES LLC
Other - Org Name:KIDNEY CARE ASSOCIATES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:IRFAN
Authorized Official - Last Name:QADRI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:407-951-5883
Mailing Address - Street 1:661 E ALTAMONTE DR STE 213
Mailing Address - Street 2:
Mailing Address - City:ALTAMONTE SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32701-5102
Mailing Address - Country:US
Mailing Address - Phone:407-951-5883
Mailing Address - Fax:407-951-8326
Practice Address - Street 1:661 E ALTAMONTE DR STE 213
Practice Address - Street 2:
Practice Address - City:ALTAMONTE SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:32701
Practice Address - Country:US
Practice Address - Phone:407-951-5883
Practice Address - Fax:407-951-8326
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-07-07
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty