Organization
KIDNEY CARE PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALID S MAHRAN MD (MD)
(716) 833-1511
Entity
Organization
Contact information
Practice address
2121 MAIN ST, SUITE 216, BUFFALO, NY 14214-2693
(716) 833-1511
Mailing address
2121 MAIN ST, SUITE 216, BUFFALO, NY 14214-2693
(716) 833-1511
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
207970
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01774038
—
NY
Enumeration date
07/19/2007
Last updated
03/03/2011
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