Upper Valley Kidney Clinic

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

35080974 Issued in OH

Legal business name

UPPER VALLEY KIDNEY CLINIC

Practice address

1266 N Broad St
Fairborn, OH 45324-5549

Phone

(937) 879-0433

Fax

(937) 879-0589

NPI assigned

Jul 1, 2009

Organization subpart

No

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

Authorized official

Name

Naveed Ul Haq, M.D.

Title

Sole Proprieter

Phone

(937) 335-9633

Specialties & licenses 1

Addresses

Tax ID family

Upper Valley Kidney Clinic3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Upper Valley Kidney Clinic

  • Nephrology Physician
  • Sidney, OH
  • NPI 1053549261
  NPD tax ID
• Upper Valley Kidney Clinic

  • Nephrology Physician
  • Sidney, OH
  • NPI 1225266505
  NPD tax ID

Locations

Practitioners 1

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

• Sayed Asad Ali, M.D.

  • Nephrology Physician
  • Troy, OH
  • NPI 1982709903
  NPD (past)

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

{
    "created_epoch": "1246406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1710115548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3130 N DIXIE HWY",
            "address_2": "STE 101",
            "city": "TROY",
            "state": "OH",
            "postal_code": "453731337",
            "telephone_number": "937-335-9633",
            "fax_number": "937-335-9464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 N BROAD ST",
            "city": "FAIRBORN",
            "state": "OH",
            "postal_code": "453245549",
            "telephone_number": "937-879-0433",
            "fax_number": "937-879-0589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UPPER VALLEY KIDNEY CLINIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-07-01",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "HAQ",
        "authorized_official_first_name": "NAVEED",
        "authorized_official_middle_name": "UL",
        "authorized_official_title_or_position": "SOLE PROPRIETER",
        "authorized_official_telephone_number": "937-335-9633",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "OH",
            "license": "35080974",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Debra Tyre
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• Tara Valladares
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• Amberly N Vanarsdall, PC
• Camille Vance

• Nephrology Physician in Fairborn, OH
• Providers in Fairborn, OH by specialty
• Nephrology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.