Basic Information
| Provider Information | |||||||||
| NPI: | 1225009145 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | NEPHRON ASSOCIATES, PC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 29877 TELEGRAPH RD | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480341332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483592370 | ||||||||
| FaxNumber: | 2487790135 | ||||||||
| Practice Location | |||||||||
| Address1: | 29877 TELEGRAPH RD | ||||||||
| Address2: | SUITE 301 | ||||||||
| City: | SOUTHFIELD | ||||||||
| State: | MI | ||||||||
| PostalCode: | 480341332 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2483592370 | ||||||||
| FaxNumber: | 2487992604 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 01/30/2006 | ||||||||
| LastUpdateDate: | 10/19/2007 | ||||||||
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| AuthorizedOfficialLastName: | MICHAELS | ||||||||
| AuthorizedOfficialFirstName: | ROBERT | ||||||||
| AuthorizedOfficialMiddleName: | S. | ||||||||
| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 7342662780 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RN0300X | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Internal Medicine | Nephrology |
No ID Information.