Delta Renal Care PLLC

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

DELTA RENAL CARE PLLC

Practice address

3981 Elizabeth Ave
Canton, MI 48188-7223

Phone

(810) 282-1821

NPI assigned

Jul 7, 2020

Last updated

Jul 7, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mohammad Alhaji, MD

Title

Medical Director

Phone

(810) 282-1821

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1594080000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594080000000",
    "number": "1386262350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3981 ELIZABETH AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887223",
            "telephone_number": "810-282-1821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3981 ELIZABETH AVE",
            "city": "CANTON",
            "state": "MI",
            "postal_code": "481887223",
            "telephone_number": "810-282-1821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELTA RENAL CARE PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-07",
        "last_updated": "2020-07-07",
        "certification_date": "2020-07-07",
        "status": "A",
        "authorized_official_last_name": "ALHAJI",
        "authorized_official_first_name": "MOHAMMAD",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "810-282-1821",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tracy Lynn Debreczeny
• Paul George Debrincat, M.D.
• David A Deguzman, MD
• Charlyne Dulla Delito-Monton
• Delta Group of Michigan Inc
• David Allen Demattos
• Dorian Nicole Dennard
• Dennard&Company (DennardandCompany)
• Dental Associates at Cherry Hill PC
• Dental Care Mobile Consulting LLC

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Canton, MI
• Providers in Canton, MI by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2020; 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.