Organization
HYPERTENSION & KIDNEY,PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NABILA HUSSAIN M.D (PRESIDENT)
(770) 513-3565
Entity
Organization
Contact information
Practice address
134 S CLAYTON ST, SUIT # 8, LAWRENCEVILLE, GA 30046-5753
(770) 513-3565
(770) 513-1924
Mailing address
PO BOX 1126, LAWRENCEVILLE, GA 30046-1126
(770) 513-3565
(770) 513-1924
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
051765
GA
207RN0300X
Nephrology Physician
051765
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000967095B
—
GA
05
—
000967095C
—
GA
05
—
000967095E
—
GA
05
—
000967095F
—
GA
05
—
000967095G
—
GA
05
—
000967095H
—
GA
05
—
000967095I
—
GA
05
—
000967095J
—
GA
05
—
000967095K
—
GA
05
—
553623912A
—
GA
Enumeration date
05/26/2006
Last updated
06/11/2020
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