Organization
KIDNEY SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOUHAMED WALID AL SHEIKHA M.D. (OWNER)
(636) 506-8255
Entity
Organization
Contact information
Practice address
3682 UTICA RIDGE RD, BETTENDORF, IA 52722-1648
(563) 391-1024
(563) 386-0965
Mailing address
25058 189TH ST, BETTENDORF, IA 52722-7343
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
29965
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1125682
—
IA
Enumeration date
03/06/2008
Last updated
08/09/2023
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