Provider Demographics
NPI:1770524696
Name:KIDNEY & HYPERTENSION CONSULTANTS, INC.
Entity type:Organization
Organization Name:KIDNEY & HYPERTENSION CONSULTANTS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:JEHAD
Authorized Official - Middle Name:YUSEF
Authorized Official - Last Name:ASFOURA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:330-649-9400
Mailing Address - Street 1:4650 HILLS AND DALES RD NW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44708
Mailing Address - Country:US
Mailing Address - Phone:330-649-9400
Mailing Address - Fax:330-649-8059
Practice Address - Street 1:4650 HILLS AND DALES RD NW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44708
Practice Address - Country:US
Practice Address - Phone:330-649-9400
Practice Address - Fax:330-649-8059
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-06-10
Last Update Date:2024-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHKI9204601Medicare ID - Type Unspecified