Renal Center Physicians

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

RENAL CENTER PHYSICIANS

Practice address

2607 Electric Ave Ste E
Port Huron, MI 48060-6587

Phone

(810) 987-5252

Fax

(810) 987-2120

NPI assigned

Jul 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Subbana Gounder Muthuswami, MD

Title

President

Phone

(810) 987-5252

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1295765071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22201 MOROSS RD STE 150",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482362152",
            "telephone_number": "586-247-4300",
            "fax_number": "586-532-6496"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2607 ELECTRIC AVE STE E",
            "city": "PORT HURON",
            "state": "MI",
            "postal_code": "480606587",
            "telephone_number": "810-987-5252",
            "fax_number": "810-987-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL CENTER PHYSICIANS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-04",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "MUTHUSWAMI",
        "authorized_official_first_name": "SUBBANA",
        "authorized_official_middle_name": "GOUNDER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "810-987-5252",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102570422",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicole Reid, M.A.
• Rebecca Lee Reifert, RDH
• Nick J Reina, MD
• Leonard Reiter II
• Richard Charles Relken, M.D.
• Casey Renno, AGNP-C
• Kaitlyn Reno
• Jason Gerald Rewalt, CRNA
• Laura Reynolds
• Riad R. Hajjar MD PC

• Nephrology Physician in Port Huron, MI
• Providers in Port Huron, 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 17, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.