Provider Demographics
NPI:1922262260
Name:PREMIER RENAL CARE, LLC
Entity Type:Organization
Organization Name:PREMIER RENAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DATINDER
Authorized Official - Middle Name:BIR SINGH
Authorized Official - Last Name:DEO
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-331-4466
Mailing Address - Street 1:4486 DEER PATH TRL
Mailing Address - Street 2:
Mailing Address - City:RICHFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44286-9173
Mailing Address - Country:US
Mailing Address - Phone:330-331-4466
Mailing Address - Fax:330-331-7478
Practice Address - Street 1:421 PORTAGE TRL
Practice Address - Street 2:
Practice Address - City:CUYAHOGA FALLS
Practice Address - State:OH
Practice Address - Zip Code:44221-3227
Practice Address - Country:US
Practice Address - Phone:330-331-4466
Practice Address - Fax:330-331-7478
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-16
Last Update Date:2023-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty