Organization Active NPI

Diab Agha Kidney and Hypertension Clinic Inc

  • Nephrology Physician
  • Fort Lauderdale, FL
National Provider Identifier
1699197921
Registry record updated Oct 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
Legal business name
DIAB AGHA KIDNEY AND HYPERTENSION CLINIC INC
Practice address
6268 N Federal Hwy
Fort Lauderdale, FL 33308-1904
Phone
(954) 880-5553
Fax
(954) 208-4533
NPI assigned
Jan 6, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2018

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

Authorized official

Name
Samer Diab Agha, M.D.
Title
Ceo
Phone
(954) 880-5553

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207RN0300X Primary

Addresses

Primary practice location

6268 N Federal Hwy
Fort Lauderdale, FL 33308-1904

Mailing address

6268 N Federal Hwy
Fort Lauderdale, FL 33308-1904
Phone (954) 880-5553

National Provider Directory

National Provider Directory

Locations

6268 N Federal Hwy
Ft Lauderdale, FL 33308
Phone (954) 771-0860

Networks

  • HealthSun Health Plans Network

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1388966400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1538956800000",
    "number": "1699197921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6268 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081904",
            "telephone_number": "954-880-5553",
            "fax_number": "954-208-4533"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6268 N FEDERAL HWY",
            "city": "FORT LAUDERDALE",
            "state": "FL",
            "postal_code": "333081904",
            "telephone_number": "954-880-5553",
            "fax_number": "954-208-4533"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAB AGHA KIDNEY AND HYPERTENSION CLINIC INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-06",
        "last_updated": "2018-10-08",
        "status": "A",
        "authorized_official_last_name": "DIAB AGHA",
        "authorized_official_first_name": "SAMER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "954-880-5553",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Lauderdale, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; 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.