Kidney Disease Specialist PLLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301077743 Issued in MI

Legal business name

KIDNEY DISEASE SPECIALIST PLLC

Practice address

41750 Michigan Ave
Canton, MI 48188-2679

Phone

(734) 398-0444

NPI assigned

Jun 21, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Kashif Majeed ChaudhryNPI 1518905686

Title

M.D

Phone

(248) 943-2986

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kashif Majeed Chaudhry, MD

  • Internal Medicine Physician
  • Taylor, MI
  • NPI 1518905686
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1340236800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340236800000",
    "number": "1104189448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41750 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882679",
            "telephone_number": "734-398-0444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41750 MICHIGAN AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481882679",
            "telephone_number": "734-398-0444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY DISEASE SPECIALIST PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-21",
        "last_updated": "2012-06-21",
        "status": "A",
        "authorized_official_last_name": "CHAUDHRY",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "MAJEED",
        "authorized_official_title_or_position": "M.D",
        "authorized_official_telephone_number": "248-943-2986",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301077743",
            "primary": false
        },
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301077743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Henna A Khare, DDS
• Vidita Khatri
• Christine Aref Khattar, PT
• Thomas Mark Khemmoro, DDS
• Essam Khraizat, MD
• Kidology
• Kidology Institute
• Allison Carole Kiefiuk, PHARMD
• Victoria Kiers
• Kevin Kiesel

• Nephrology Physician in Canton, MI
• Providers in Canton, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.