Organization
MARYLAND NEPHROLOGY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KULWANT SINGH MODI MD, FRCP,FACP,FASN (PRESIDENT)
(410) 418-8740
Entity
Organization
Contact information
Practice address
2000 W BALTIMORE ST FL 3, BALTIMORE, MD 21223-1558
(410) 362-3400
(410) 720-2545
Mailing address
4310 ENGLISH MORNING LN, ELLICOTT CITY, MD 21043-6790
(410) 418-8740
(410) 418-8740
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
D0059917
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
410564800
—
MD
Enumeration date
03/16/2006
Last updated
07/31/2025
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