Organization
CENTER FOR KIDNEY DISEASE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAIKH R HOQUE MD (OWNER, AUTHORIZED SIGNER)
(406) 788-7119
Entity
Organization
Contact information
Practice address
6 TSIENNETO RD STE 300A, DERRY, NH 03038-1584
(603) 912-2837
(949) 810-9109
Mailing address
12 MOONSTONE CT, NASHUA, NH 03062-3097
(949) 810-9109
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
30206444
—
NH
01
—
I44529
MEDICARE UPIN
—
Enumeration date
09/20/2019
Last updated
05/10/2026
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