| Kidney Disease Specialist Pllc | |
|
41750 Michigan Ave Canton MI 48188-2679 | |
| (734) 398-0444 | |
| Not Available |
| Full Name | Kidney Disease Specialist Pllc |
|---|---|
| Speciality | Internal Medicine |
| Location | 41750 Michigan Ave, Canton, Michigan |
| Authorized Official Name and Position | Kashif Majeed Chaudhry (M.D) |
| Authorized Official Contact | 2489432986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Disease Specialist Pllc 41750 Michigan Ave Canton MI 48188-2679 Ph: (734) 398-0444 | Kidney Disease Specialist Pllc 41750 Michigan Ave Canton MI 48188-2679 Ph: (734) 398-0444 |
| NPI Number | 1104189448 |
|---|---|
| Provider Enumeration Date | 06/21/2012 |
| Last Update Date | 06/21/2012 |
| Medicare PECOS PAC ID | 0941466619 |
|---|---|
| Medicare Enrollment ID | O20120724000889 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104189448 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4301077743 (Michigan) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | 4301077743 (Michigan) | Primary |
| Provider Name | Kashif M Chaudhry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1518905686 PECOS PAC ID: 4385606912 Enrollment ID: I20041027000330 |
Premier Medicine Of Canton Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5958 N Canton Center Rd, Canton, MI 48187 Phone: 734-454-5454 | |
Western Wayne Urgent Care Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd, Suite 140, Canton, MI 48187 Phone: 734-259-0500 Fax: 734-259-0505 | |
Haggarty Medical Plaza Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2050 N Haggerty Rd, Suite 200, Canton, MI 48187 Phone: 734-259-0410 Fax: 734-259-0414 | |
Elite Prime Care Pllc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 8542 N Canton Center Rd, Canton, MI 48187 Phone: 734-455-8310 Fax: 313-337-8984 | |
Iha Canton Primary Care Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1600 S Canton Center Rd Ste 1200, Canton, MI 48188 Phone: 734-398-7880 | |
Epic Physician Services Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 5880 N Canton Center Rd Ste 412, Canton, MI 48187 Phone: 734-368-3159 Fax: 734-667-3492 |