National Provider Identifier Database

YOUTHFULMD INTEGRATIVE HEALTH LLC
Nephrology

An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.


Contact Information

YOUTHFULMD INTEGRATIVE HEALTH LLC
3105 CREEKSIDE VILLAGE DR NW STE 801
KENNESAW, GA30144-4218
Phone: 781-475-2735
Fax:
Website:
Specialty Taxonomy Code
* Nephrology 207RN0300X
Hospitalist 208M00000X
Hypertension Specialist 207RH0005X
Infectious Disease 207RI0200X
Internal Medicine 207R00000X

* Indicates primary specialty

NPI Profile & details for YOUTHFULMD INTEGRATIVE HEALTH LLC

NPI Number 1548918196
Legal business name
LBN
YOUTHFULMD INTEGRATIVE HEALTH LLC
Authorized official NDIDIAMAKA OBADAN - (MEDICAL DIRECTOR)
Entity Organization
Organization subpart No
Enumeration date 03/14/2022
Last updated 07/14/2023 - About 3 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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