Maryland Kidney Associates, LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

MARYLAND KIDNEY ASSOCIATES, LLC

Practice address

9103 Franklin Square Dr
Suite 301
Baltimore, MD 21237-3900

Phone

(443) 777-6540

Fax

(443) 777-6543

NPI assigned

Jan 24, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Khalid K Al-Talib, M.D.

Title

Member

Phone

(443) 777-6540

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Irfan Shukrullah, M.D

  • Nephrology Physician
  • Baltimore, MD
  • NPI 1528200201
  NPD (past)

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201132800000",
    "number": "1770760449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373900",
            "telephone_number": "443-777-6540",
            "fax_number": "443-777-6543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9103 FRANKLIN SQUARE DR",
            "address_2": "SUITE 301",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212373900",
            "telephone_number": "443-777-6540",
            "fax_number": "443-777-6543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND KIDNEY ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2008-01-24",
        "status": "A",
        "authorized_official_last_name": "AL-TALIB",
        "authorized_official_first_name": "KHALID",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "MEMBER",
        "authorized_official_telephone_number": "443-777-6540",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maryland Institue of Health and Behavior Services LLC
• Maryland Institute College of Art
• Maryland Integrated Services LLC
• Maryland Intergenerational Health Care
• Maryland Interventional Pain Management, LLC (Baltimore Pain Relief Center)
• Maryland Kidney Group PA
• Maryland Medical Day Services, LLC
• Maryland Medical First P.a.
• Maryland Medical Rehabilitation, P.C.
• Maryland Metro Rehab LLC

• Nephrology Physician in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Nephrology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 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.