Active NPI
Oakland Kidneycare PLLC
- Nephrology Physician
- Troy, MI
National Provider Identifier
1245067925
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- Legal business name
- OAKLAND KIDNEYCARE PLLC
- Practice address
- 44201 Dequindre Rd.
Troy, MI 48085 - Phone
- (313) 766-2080
- Fax
- (313) 490-1519
- NPI assigned
- Sep 17, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Neetu Sharma, MD
- Title
- Owner
- Phone
- (313) 204-9292
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | Primary |
Addresses
Primary practice location
44201 Dequindre Rd.
Troy, MI 48085
Mailing address
1129 W 14 Mile Rd Ste 1055
Clawson, MI 48017-2801
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1726531200000",
"number": "1245067925",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1129 W 14 MILE RD STE 1055",
"city": "CLAWSON",
"state": "MI",
"postal_code": "480172801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44201 DEQUINDRE RD.",
"city": "TROY",
"state": "MI",
"postal_code": "48085",
"telephone_number": "313-766-2080",
"fax_number": "313-490-1519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OAKLAND KIDNEYCARE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-09",
"status": "A",
"authorized_official_last_name": "SHARMA",
"authorized_official_first_name": "NEETU",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "313-204-9292",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine, Nephrology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.