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Export Provider Record NPI 1053466094
Nephrology Hypertension Clinic, Pc
Organization Subpart: NO
Active
NPI Number1053466094
NPI TypeNPI-2 Organization
SpecialtyInternal Medicine, Nephrology
Provider Details
NPI1053466094
NPI TypeNPI-2 Organization
StatusActive
Enumeration Date2007-01-23
Last Updated2023-08-22
Authorized OfficialPinnamaneni Prasad
President
Phone: 3132713000
Mailing Address16407 Southfield Rd Ste A
Allen Park, MI 48101-2571
United States
Phone: (313) 271-3000 | Fax: (313) 271-3003
📍 View Map
Primary Practice Address16407 Southfield Rd Ste A
Allen Park, MI 48101-2571
United States
Phone: (313) 271-3000 | Fax: (313) 271-3003
📍 View Map
Other Identifiers
IssuerStateNumberOther Issuer
Other (non-Medicare)0Q26434BCBSM
Taxonomy / Specialty
PrimaryTaxonomy Code & DescriptionStateLicense Number
Yes207RN0300X – Internal Medicine, Nephrology
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About NPI 1053466094

Nephrology Hypertension Clinic, Pc is an organization registered in the CMS NPPES NPI Registry with NPI number 1053466094. The primary specialty listed is Internal Medicine, Nephrology. The organization is located in Allen Park, MI. This NPI is classified as a Type 2 (Organizational) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-01-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.

Frequently Asked Questions

What is NPI 1053466094?

NPI 1053466094 belongs to Nephrology Hypertension Clinic, Pc, a Internal Medicine, Nephrology in Allen Park, MI. It is a Type 2 Organizational NPI registered in the CMS NPPES NPI Registry.

Is NPI 1053466094 active?

The current status of NPI 1053466094 in the NPPES registry is Active. The record was last updated on 2023-08-22.

What specialty is NPI 1053466094?

NPI 1053466094 is classified under the taxonomy Internal Medicine, Nephrology. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.

How do I verify NPI 1053466094?

You can verify NPI 1053466094 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.

What address is on file for NPI 1053466094?

The primary practice address on file for NPI 1053466094 is 16407 Southfield Rd Ste A, Allen Park, MI 48101-2571. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.

When was NPI 1053466094 issued?

NPI 1053466094 was first issued (enumerated) on 2007-01-23. The NPPES record was last updated on 2023-08-22.

Practice Location Map

Nephrology Hypertension Clinic, Pc is located at 16407 Southfield Rd Ste A, Allen Park, MI. Use the map below to find directions or verify the practice location.

📍 16407 Southfield Rd Ste A, Allen Park, MI 48101-2571  ·  Open in Google Maps ↗

Related Healthcare Providers

The following providers share the same practice location, specialty, or state as Nephrology Hypertension Clinic, Pc. All records sourced from the CMS NPPES registry.

Data Verified from CMS NPPES Last synced: 2026-06-15 · Source: npiregistry.cms.hhs.gov · 45 CFR Part 162