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Organization
INTERNAL MEDICINE AND KIDNEY CARE, LLC
Active
Organization
INTERNAL MEDICINE AND KIDNEY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BHAVANI PRAKASH RAO MD (MEMBER)
(908) 757-6655
Entity
Organization
Contact information
Practice address
209 PIERSON AVE, EDISON, NJ 08837-3139
(908) 757-6655
(908) 757-6653
Mailing address
PO BOX 7187, COLONIA, NJ 07067-7187
(908) 757-6655
(908) 757-6653
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8159301
—
NJ
Enumeration date
05/08/2007
Last updated
06/11/2026
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