Provider Demographics
NPI:1194264762
Name:COMPREHENSIVE NEPHROLOGY SPECIALIST, LLC
Entity type:Organization
Organization Name:COMPREHENSIVE NEPHROLOGY SPECIALIST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:FARHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ABID
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:954-947-7545
Mailing Address - Street 1:PO BOX 824097
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33082-4097
Mailing Address - Country:US
Mailing Address - Phone:954-947-7545
Mailing Address - Fax:954-301-3770
Practice Address - Street 1:7170 W 20TH AVE
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33016-1849
Practice Address - Country:US
Practice Address - Phone:954-947-7545
Practice Address - Fax:954-301-3770
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-16
Last Update Date:2017-03-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLME98083207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty