Maryland Kidney Group Pa

LBN: Maryland Kidney Group Pa
Maryland Kidney Group Pa is an health care organization with primary practice located at 6830 Hospital Dr Suite 204, Baltimore MD 21237-4373. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Maryland Kidney Group Pa can be contacted via phone (443) 559-5063, or through Al-Talib, Khalid K via phone (443) 559-5063.

Contact Information

Primary practice address
6830 Hospital Dr Suite 204 Baltimore MD 21237-4373
Phone: (443) 559-5063
Fax: (443) 559-5078
Website:
Map and Directions
Authorized official contact:
Name: Al-Talib, Khalid K Doctor of Medicine (MD)
Phone: (443) 559-5063

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1659336261
LBN Legal business name Maryland Kidney Group Pa
DBA Doing business as
Authorized official Al-Talib, Khalid K Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Apr 18th, 2006
Last updated Dec 27th, 2016 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659336261 NPPES
Maryland MEDICAID 787830300

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