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Organization

COMPREHENSIVE KIDNEY CARE, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD PATRICK FLAUTO D.O. (PRESIDENT)
(440) 292-0226
Entity
Organization

Contact information

Practice address
19133 HILLIARD BLVD, ROCKY RIVER, OH 44116-2907
(216) 228-5500
(216) 227-2628
Mailing address
19133 HILLIARD BLVD, ROCKY RIVER, OH 44116-2907
(216) 228-5500
(216) 227-2628

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
35-072868A
OH
207RN0300X
Nephrology Physician
Primary
34-006702F
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2491183
OH
01
DC0629
RAILROAD MEDICARE
OH
01
P00145696
RAILROAD MEDICARE
OH
01
P00157422
RAILROAD MEDICARE
OH
01
P00233217
RAILROAD MEDICARE
OH
01
P00368220
RAILROAD MEDICARE
OH
Enumeration date
11/07/2006
Last updated
08/21/2009
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