Organization
METRO DETROIT KIDNEY DOCTORS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAYNA S NAGRECHA M.D. (OWNER)
(313) 417-3876
Entity
Organization
Contact information
Practice address
27550 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-4798
(586) 776-4200
(586) 933-2353
Mailing address
27550 SCHOENHERR RD, SUITE 200, WARREN, MI 48088-4798
(586) 776-4200
(586) 933-2353
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
—
MI
207RN0300X
Nephrology Physician
Primary
—
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
110E024840
BCBSM GROUP NUMBER
MI
Enumeration date
03/24/2008
Last updated
05/23/2008
Update your record
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