Renal MD PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

License

4301078338 Issued in MI

Legal business name

RENAL MD PC

Practice address

414 Perry Rd
Grand Blanc, MI 48439-1467

Phone

(810) 694-8423

Fax

(810) 694-9280

NPI assigned

Oct 28, 2008

Organization subpart

No

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

Authorized official

Name

Arvind R Kunadi, MDNPI 1467614537

Title

Owner

Phone

(810) 424-2007

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

Enrollment records 1

Locations

Practitioners 1

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

• Arvind R Kunadi, MD

  • Nephrology Physician
  • Grand Blanc, MI
  • NPI 1467614537
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1225152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225152000000",
    "number": "1992958409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-694-8423",
            "fax_number": "810-694-9280"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 PERRY RD",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484391467",
            "telephone_number": "810-694-8423",
            "fax_number": "810-694-9280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-28",
        "last_updated": "2008-10-28",
        "status": "A",
        "authorized_official_last_name": "KUNADI",
        "authorized_official_first_name": "ARVIND",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-424-2007",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": "MI",
            "license": "4301078338",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Nephrology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.