Provider Demographics
NPI:1982251492
Name:RENAL CARE, PLLC
Entity Type:Organization
Organization Name:RENAL CARE, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SOSAN
Authorized Official - Middle Name:JAFFAR ALZIBAIR
Authorized Official - Last Name:ABDULLAH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:917-496-1864
Mailing Address - Street 1:PO BOX 1487
Mailing Address - Street 2:
Mailing Address - City:MORGANTON
Mailing Address - State:NC
Mailing Address - Zip Code:28680-1487
Mailing Address - Country:US
Mailing Address - Phone:828-237-4301
Mailing Address - Fax:828-237-4302
Practice Address - Street 1:607 E PARKER RD STE A
Practice Address - Street 2:
Practice Address - City:MORGANTON
Practice Address - State:NC
Practice Address - Zip Code:28655-8105
Practice Address - Country:US
Practice Address - Phone:828-237-4301
Practice Address - Fax:828-237-4302
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-20
Last Update Date:2019-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty