| NPI | 1548024656 |
|---|---|
| Other Name | AUTUMN LAKE HEALTHCARE AT BRADFORD OAK NEPH |
| Entity Type | Organization |
| Authorized Contact | KAMAL SALAH H SEWARALTHAHAB Owner 443-325-0031 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207RH0000X Internal Medicine, Hematology | |
| 207RI0200X Internal Medicine, Infectious Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207RR0500X Internal Medicine, Rheumatology | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 208VP0000X | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2025-06-09 |