Organization
NEPHROLOGY PHYSICIANS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES PORILE (AUTHORIZED OFFICIAL)
(574) 273-6787
Entity
Organization
Contact information
Practice address
710 PARK PLACE, MISHAWAKA, IN 46545-3519
(574) 273-6767
(574) 968-7160
Mailing address
710 PARK PL STE 200, MISHAWAKA, IN 46545-3519
(574) 273-6767
(574) 273-6764
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200241320A
—
IN
Enumeration date
07/01/2006
Last updated
03/23/2026
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