Renaissance M.D. Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

RENAISSANCE M.D. INC.

Practice address

1652 Plum LN Ste 103
Redlands, CA 92374-4594

Phone

(909) 583-1262

NPI assigned

Aug 22, 2016

Organization subpart

No

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

Authorized official

Name

Dr. Shazia Hyder, M.D

Title

Medical Director

Phone

(909) 583-1262

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1471824000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1471824000000",
    "number": "1568917359",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1652 PLUM LN STE 103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744594",
            "telephone_number": "909-583-1262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1652 PLUM LN STE 103",
            "city": "REDLANDS",
            "state": "CA",
            "postal_code": "923744594",
            "telephone_number": "909-583-1262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAISSANCE M.D. INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-22",
        "last_updated": "2016-08-22",
        "status": "A",
        "authorized_official_last_name": "HYDER",
        "authorized_official_first_name": "SHAZIA",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "909-583-1262",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Internal Medicine Physician in Redlands, CA
• Providers in Redlands, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2016; 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.