Provider Demographics
NPI:1467882175
Name:INTERNAL MEDICINE AND KIDNEY PARTNERS PA
Entity Type:Organization
Organization Name:INTERNAL MEDICINE AND KIDNEY PARTNERS PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RIETA
Authorized Official - Middle Name:
Authorized Official - Last Name:SILANG
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:603-880-3122
Mailing Address - Street 1:19 TYLER ST
Mailing Address - Street 2:SUITE 203
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-2951
Mailing Address - Country:US
Mailing Address - Phone:603-582-5515
Mailing Address - Fax:
Practice Address - Street 1:19 TYLER ST
Practice Address - Street 2:SUITE 203
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-2951
Practice Address - Country:US
Practice Address - Phone:603-582-5515
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NHNH11289174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty