Provider Demographics
NPI:1659152700
Name:HYPERTENSION & KIDNEY SPECIALIST, PC
Entity Type:Organization
Organization Name:HYPERTENSION & KIDNEY SPECIALIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MANPREET
Authorized Official - Middle Name:
Authorized Official - Last Name:BHUTANI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:716-536-2961
Mailing Address - Street 1:10217 SWANHAVEN CT
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27617-7558
Mailing Address - Country:US
Mailing Address - Phone:716-536-2961
Mailing Address - Fax:
Practice Address - Street 1:10217 SWANHAVEN CT
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27617-7558
Practice Address - Country:US
Practice Address - Phone:716-536-2961
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-10-12
Last Update Date:2023-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty