Organization Name: | NEPHROLOGY SERVICES MEDICAL GROUP OF OLEAN & BRADFORD, PC |
NPI Number: | 1023164571 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MUHAMMED T JAVED (OWNER) |
Mailing Address: | 623 Main St Olean |
State: | NY US |
Postal Code: | 147601515 |
Phone Number: | 7163724212 |
Fax Number: | 7163739167 |
NPI Enumeration Date: | 01/26/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 193890-1 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NY |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |