KIDNEY SPECIALISTS OF SOUTH TEXAS, P.A. (NPI# 1699778068) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699778068 |
| Entity Type | Organization |
| Organization Name | KIDNEY SPECIALISTS OF SOUTH TEXAS, P.A. |
| Practice Address |
1521 S Staples St Ste 601 Corpus Christi TX 78404-3154 |
| Practice Telephone | 3618878451 |
| Practice Fax Number | 3618876126 |
| Mailing Telephone | 3618878451 |
| Mailing Fax Number | 3618876126 |
| Enumeration Date | 2005-05-31 |
| Last Update Date | 2008-05-16 |
| Authorized Official Name | DR. SHAH F ISLAM (PRESIDENT) |
| Authorized Official Telephone | 3618878451 |
| 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 |
K8227 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 109425201 | 05 |
| Street Address |
1521 S STAPLES ST STE 601 |
| City | CORPUS CHRISTI |
| State | TX |
| Zip Code | 78404-3154 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972506913 | William Lee Shaffer | Internal Medicine | 1521 S Staples St, Ste 601, Corpus Christi, TX 78404-3154 | 2005-05-23 |
| 1174074298 | Health Com Management, LLC | Technician | 1521 S Staples St, Suite #203, Corpus Christi, TX 78404 | 2016-10-24 |
| 1912311028 | Utc Providers - Corpus Christi Inc | Chiropractor | 1521 S Staples St, Suite 803, Corpus Christi, TX 78404-3150 | 2014-06-17 |
| 1740611128 | David A. Mcfarling, Md,pa | Psychiatry & Neurology | 1521 S Staples St, Ste. 402, Corpus Christi, TX 78404-3150 | 2013-12-10 |
| 1487929907 | Cardiac Cath Lab of Corpus Christi Lp | Internal Medicine | 1521 S Staples St, Suite 102, Corpus Christi, TX 78404-3150 | 2012-03-16 |
| 1750696555 | Arnoldo R. Villarreal, M. D., P.a. | Ophthalmology | 1521 S Staples St, Suite 204, Corpus Christi, TX 78404-3150 | 2010-08-17 |
| 1770806895 | L L Buck & J E Cohn Md Pa | Internal Medicine | 1521 S Staples St, Suite 801, Corpus Christi, TX 78404-3150 | 2010-03-03 |
| 1912229303 | Lorenzo F. Martin Md Pa | Internal Medicine | 1521 S Staples St, Ste 401, Corpus Christi, TX 78404-3150 | 2010-02-25 |
| 1417281205 | Marilyn Upmanyu | Internal Medicine | 1521 S Staples St, Suite 303, Corpus Christi, TX 78404-3150 | 2009-09-25 |
| 1437483229 | Upmanyu Assoc | Internal Medicine | 1521 S Staples St, Suite 303, Corpus Christi, TX 78404-3150 | 2009-09-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810866 | Eileen Michelle Isaacs | Social Worker | 1315 Sante Fe St. Ste. 215, Corpus Christi, TX 78404 | 2020-08-05 |
| 1386109791 | Sanil John | Specialist/Technologist, Other | South Texas Brain and Spine Centers, 1227 3rd St, Corpus Christi, TX 78404 | 2019-02-11 |
| 1114422599 | Paul Jackson | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St, Gme, Corpus Christi, TX 78404 | 2018-03-27 |
| 1740704303 | Edwin Gabriel Otero | Student in an Organized Health Care Education/Training Program | 600 Elizabeth St # 9b, Corpus Christi, TX 78404 | 2017-07-26 |
| 1053832170 | Melissa D Ponder | Emergency Medicine | 600 Elizabeth St Ste 6b, Corpus Christi, TX 78404 | 2017-06-28 |
| 1821533480 | Collen Mora | Nurse Practitioner | 1533 5th Street, Coprus Christi, TX 78404 | 2017-01-05 |
| 1013365717 | Terri L Sutphin | Speech-Language Pathologist | 1001 Louisiana Ave., Ste #402, Corpus Christi, TX 78404 | 2016-06-03 |
| 1982067872 | Janareddy Mandadi | Pharmacist | 1335 Santa Fe, Shoreline Pharmacy, Corpus Christi, TX 78404 | 2016-03-30 |
| 1932514007 | Debra Carpenter Guzman | Nurse Practitioner | 1600 S Staples, Ste 150, Corpus Christi, TX 78404 | 2014-06-26 |
| 1083037451 | Michelle Lynn Freshcoln Talbert | Registered Nurse | 309 Ohio Ave., Corpus Christi, TX 78404 | 2014-01-21 |
| Find all providers in zip 78404 | ||||
| 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 |
|---|---|---|---|---|
| 1881826089 | Abeer A Kaldas | Internal Medicine | 7502 S Padre Island Dr, Corpus Christi, TX 78412-4308 | 2009-08-20 |
| 1871784967 | Benjamin Swee Leng Lee | Internal Medicine | 1521 S Staples St Ste 601, Corpus Christi, TX 78404-3154 | 2007-08-05 |
| 1144223876 | Geeta P Reddy | Internal Medicine | 1315 Santa Fe St Ste 102, Corpus Christi, TX 78404-2242 | 2005-05-26 |
| 1386647253 | Karim N Nooruddin | Internal Medicine | 5826 Esplanade Dr Ste 204, Corpus Christi, TX 78414-4198 | 2005-05-24 |
| 1972506913 | William Lee Shaffer | Internal Medicine | 1521 S Staples St, Ste 601, Corpus Christi, TX 78404-3154 | 2005-05-23 |
| 1790171056 | Abeer A. Kaldas, Md, Pllc | Internal Medicine | 7502 S Padre Island Dr, Corpus Christi, TX 78412-4308 | 2015-04-13 |
| 1508011818 | Kidney Care Clinic of Corpus Christi | Internal Medicine | 600 Elizabeth St, Spohn Shoreline Hospital, Medical Staff Office, Corpus Christi, TX 78404-2235 | 2008-12-01 |
| 1912196486 | Corpus Nephrology Network | Internal Medicine | 1521 S Staples St, Suite 603, Corpus Christi, TX 78404-3150 | 2007-10-19 |
| 1881897288 | Chijioke Ejiofor Ogbu | Internal Medicine | 614 Furman Ave, Corpus Christi, TX 78404-2325 | 2007-06-06 |
| 1275758278 | Zakaria Saleem | Internal Medicine | 614 Furman Ave, Corpus Christi, TX 78404-2325 | 2007-04-16 |
| Find all providers in CORPUS CHRISTI | ||||
| City | CORPUS CHRISTI |
| Zip Code | 78404 |
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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.