Provider Demographics
NPI:1598779803
Name:NEPHROLOGY ASSOCIATES OF THE CAROLINAS, P.A.
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF THE CAROLINAS, P.A.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SYED
Authorized Official - Middle Name:JAWED
Authorized Official - Last Name:AHMED
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:704-487-9766
Mailing Address - Street 1:1019 N LAFAYETTE ST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3834
Mailing Address - Country:US
Mailing Address - Phone:704-487-9766
Mailing Address - Fax:704-487-9891
Practice Address - Street 1:1019 N LAFAYETTE ST
Practice Address - Street 2:SUITE 1
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150
Practice Address - Country:US
Practice Address - Phone:704-487-9766
Practice Address - Fax:704-487-9891
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-29
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89138FJMedicaid
131EEOtherBCBS IQBAL
NC89131EEMedicaid
0114QOtherBCBS GROUP
10431OtherBCBS AHMED
NC8910431Medicaid
138FJOtherBCBS ALAM
NC890114QMedicaid
NC89138FJMedicaid
NC890114QMedicaid
=========OtherGROUP
NC89131EEMedicaid
0114QOtherBCBS GROUP
138FJOtherBCBS ALAM
10431OtherBCBS AHMED
P97124Medicare UPIN
2002945Medicare ID - Type UnspecifiedIQBAL