Organization Active NPI

Kidney Care Clinic of Corpus Christi

  • Nephrology Physician
  • Corpus Christi, TX
National Provider Identifier
1508011818
Registry record updated Dec 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
K8227 Issued in TX
Legal business name
KIDNEY CARE CLINIC OF CORPUS CHRISTI
Practice address
600 Elizabeth St
Spohn Shoreline Hospital, Medical Staff Office
Corpus Christi, TX 78404-2235
Phone
(361) 877-9783
NPI assigned
Dec 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 1, 2008

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

Authorized official

Name
Dr. Shah F Islam, MD
Title
President
Phone
(361) 877-9783

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RN0300X K8227 TX Primary

Addresses

Primary practice location

600 Elizabeth St
Spohn Shoreline Hospital, Medical Staff Office
Corpus Christi, TX 78404-2235

Mailing address

7718 Marissa Dr
Corpus Christi, TX 78414-6147
Phone (361) 877-9783

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1228089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228089600000",
    "number": "1508011818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7718 MARISSA DR",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784146147",
            "telephone_number": "361-877-9783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 ELIZABETH ST",
            "address_2": "SPOHN SHORELINE HOSPITAL, MEDICAL STAFF OFFICE",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784042235",
            "telephone_number": "361-877-9783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY CARE CLINIC OF CORPUS CHRISTI",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-01",
        "last_updated": "2008-12-01",
        "status": "A",
        "authorized_official_last_name": "ISLAM",
        "authorized_official_first_name": "SHAH",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "361-877-9783",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "TX",
            "license": "K8227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Corpus Christi, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 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.