MID-MICHIGAN KIDNEY AND HYPERTENSION SPECIALISTS, P.C. (NPI# 1649224627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649224627 |
| Entity Type | Organization |
| Organization Name | MID-MICHIGAN KIDNEY AND HYPERTENSION SPECIALISTS, P.C. |
| Practice Address |
5080 Villa Linde Pkwy Suite 2 Flint MI 48532-3411 |
| Mailing Address |
1711 Momentum Pl Lockbox Number 231711 Chicago IL 60689-5317 |
| Practice Telephone | 8107200162 |
| Practice Fax Number | 8107200301 |
| Mailing Telephone | 8107325482 |
| Mailing Fax Number | 8107200301 |
| Enumeration Date | 2006-05-22 |
| Last Update Date | 2008-07-02 |
| Authorized Official Name | JAGDISH MIRCHANDANI (PRESIDENT) |
| Authorized Official Telephone | 8107200162 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RN0300X |
Internal Medicine Specialization: Nephrology |
4301062608 | MI | Allopathic & Osteopathic Physicians |
| Street Address |
5080 VILLA LINDE PKWY SUITE 2 |
| City | FLINT |
| State | MI |
| Zip Code | 48532-3411 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710940853 | Jagdish Mirchandani | Internal Medicine | 5080 Villa Linde Pkwy, Suite 2, Flint, MI 48532-3411 | 2006-04-10 |
| 1699956938 | M M Khoulani Md PC | Internal Medicine | 5080 Villa Linde Pkwy, Unit 4, Flint, MI 48532-3423 | 2007-11-15 |
| 1932389749 | Renal Nutrition Consultants Inc. | Dietitian, Registered | 5080 Villa Linde Pkwy, Flint, MI 48532-3423 | 2007-11-08 |
| 1629105234 | Sundar Ramanathan | Internal Medicine | 5080 Villa Linde Pkwy, Suite 2, Flint, MI 48532-3423 | 2007-02-28 |
| 1003852856 | Mohamad Monir Khoulani | Internal Medicine | 5080 Villa Linde Pkwy, Unit 4, Flint, MI 48532-3411 | 2006-06-21 |
| 1447213285 | Nabil Zaki | Internal Medicine | 5080 Villa Linde Pkwy, Suite 2, Flint, MI 48532-3411 | 2006-04-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013524859 | Amber Marie Lee | Physician Assistant | 2265 South Lindenroad, Suite A, Flint, MI 48532 | 2020-09-25 |
| 1639709496 | Tammara Kamei | Counselor | 2425 S.linden Rd, Suite D Unit 100, Flint, MI 48532 | 2020-01-21 |
| 1306481882 | Christine Rice | Case Manager/Care Coordinator | 3169 Beecher Road, Flint, MI 48532 | 2019-11-08 |
| 1780154336 | Sarah Marie Shaw | Case Manager/Care Coordinator | 2091 Professional Drive, Flint, MI 48532 | 2018-11-27 |
| 1215412093 | Adria D Haynes | Social Worker | G-4413 Corunna Rd., Flint, MI 48532 | 2018-09-27 |
| 1689159378 | Vip Smiles Dentistry, Pllc | Dentist | 1104 South Linden Rd, Building B, Suite 1, Flint, MI 48532 | 2018-09-27 |
| 1942794797 | Premier Eye Specialists Pllc | Ophthalmology | 1160 S Linden Rd, Bldg. 1 Ste. A, Flint, MI 48532 | 2018-06-15 |
| 1720587710 | Cassandra Socia | Dental Hygienist | G3222 Beecher Road, Flint, MI 48532 | 2018-02-06 |
| 1235660291 | Ashley L Boltjes | Massage Therapist | 3277 Beecher Rd, Flint, MI 48532 | 2017-03-22 |
| 1497202774 | Tyneshia Mcfarland | Home Health | 2104 Ridgecliffe Dr, Flint, MI 48532 | 2016-09-05 |
| Find all providers in zip 48532 | ||||
| Taxonomy Code | 207RN0300X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Nephrology |
| An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992011472 | Owolabi Ogunneye | Internal Medicine | 2486 Nerredia St E, Flint, MI 48532-4807 | 2010-08-23 |
| 1548329683 | Kidney Disease & Hypertension Consultants PC | Internal Medicine | G3283 Beecher Rd, Flint, MI 48532-3615 | 2006-12-06 |
| 1821176785 | Yaseen Hashish | Internal Medicine | G1071 N. Ballenger Hwy., Suite 310, Flint, MI 48504-4453 | 2006-11-01 |
| 1710940853 | Jagdish Mirchandani | Internal Medicine | 5080 Villa Linde Pkwy, Suite 2, Flint, MI 48532-3411 | 2006-04-10 |
| 1598755936 | Ali K Owda | Internal Medicine | 2387 S Linden Rd, Ste A, Flint, MI 48532-5436 | 2005-10-26 |
| 1578979803 | Rupesh Khanal | Internal Medicine | 1 Hurley Plz, Flint, MI 48503 | 2014-07-08 |
| 1346485513 | Aniruddha Venkatesh Palya | Internal Medicine | 2486 Nerredia St, Suite E, Flint, MI 48532-4807 | 2008-12-02 |
| 1134378854 | Amir Jundi | Internal Medicine | 2486 Nerredia St, Suite E, Flint, MI 48532-4807 | 2008-09-17 |
| 1326208455 | Vaibhav Sahni | Internal Medicine | G1071 N Ballenger Hwy, Suite 310, Flint, MI 48504-4453 | 2008-06-12 |
| 1699968628 | Senthil Prakash Ramaiyah | Internal Medicine | 2486 Nerredia St, Suite E, Flint, MI 48532-4807 | 2007-08-22 |
| Find all providers in FLINT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.