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
908 OAK TREE AVE, SUITE R, SOUTH PLAINFIELD, NJ 07080-5100
(908) 757-6655
(908) 757-6653
Mailing address
908 OAK TREE AVE, SUITE R, SOUTH PLAINFIELD, NJ 07080-5100
(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
08/22/2020
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