Provider Demographics
NPI:1699422600
Name:NAPLES RENAL CARE LLC
Entity type:Organization
Organization Name:NAPLES RENAL CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN & OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:RAMU
Authorized Official - Middle Name:
Authorized Official - Last Name:PATAKOTI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:312-363-8237
Mailing Address - Street 1:2338 IMMOKALEE RD STE 408
Mailing Address - Street 2:
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34110-1445
Mailing Address - Country:US
Mailing Address - Phone:312-363-8237
Mailing Address - Fax:866-908-1231
Practice Address - Street 1:1213 PIPER BLVD STE 101
Practice Address - Street 2:
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34110-1393
Practice Address - Country:US
Practice Address - Phone:312-363-8237
Practice Address - Fax:866-908-1231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-09
Last Update Date:2022-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty