Organization · Type 2 NPI
Prince Georges Kidney Care
Nephrology Physician · Glenn Dale, MD
NPI number
1144855024
Active
Practice location
12200 Annapolis Rd Ste 233
Glenn Dale, MD 20769-9182
Fax (301) 365-5813
Mailing address
8400 Rainbow Rd
Vienna, VA 22182-3727
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Nephrology Physician Primary | 207RN0300X | None listed |
Nephrology Physician: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
Another provider at this address
About NPI 1144855024
Prince Georges Kidney Care's National Provider Identifier is 1144855024, issued on Mar 11, 2020. The primary taxonomy on file is Nephrology Physician (207RN0300X), and the practice location is in Glenn Dale, MD. The record was last updated on Feb 24, 2021.