Provider Demographics
NPI:1780479071
Name:KIDNEY MD LLC
Entity type:Organization
Organization Name:KIDNEY MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:RITU
Authorized Official - Middle Name:RAMDEO
Authorized Official - Last Name:VYAS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:443-380-0120
Mailing Address - Street 1:642 BRIDLE CREEK CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-6059
Mailing Address - Country:US
Mailing Address - Phone:301-219-7411
Mailing Address - Fax:
Practice Address - Street 1:405 FREDERICK RD STE 1
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-4607
Practice Address - Country:US
Practice Address - Phone:443-380-0120
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-09
Last Update Date:2025-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty