NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION
NPI 1578989505
Internal Medicine - Nephrology in Monroe, LA

Q: What is Northeast Renal & Dialysis, A Professional Medical Corporation's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

Active since March 14, 2014

1908 ROYAL AVE, MONROE, LA 71201(318) 325-5435(318) 325-8852 Get Directions Write a Review

NPPES record last updated: October 22, 2014. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Northeast Renal & Dialysis, A Professional Medical Corporation NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION (NPI 1578989505) is a healthcare organization registered as a nephrology in Monroe, Louisiana and active in the NPI registry since March 2014. The organization lists David Earl Pruett, President/owner, as its authorized official.

NPPES Registry Identity

NPI1578989505

Entity TypeOrganization

Primary Taxonomy207RN0300X

Legal Business NameNORTHEAST RENAL & DIALYSIS, A PROFESSIONAL MEDICAL CORPORATION

Location Address1908 ROYAL AVEMonroe, LA 71201-5724

Mailing Address1908 Royal AveMonroe, LA 71201-5724 · (318) 325-5435 · Fax (318) 325-8852

Phone(318) 325-5435

Fax(318) 325-8852

Organization SubpartNo

Authorized OfficialDavid Earl PruettPresident/owner · (318) 325-5435

Enumeration DateMarch 14, 2014

Last NPPES UpdateOctober 22, 2014

✔ NPI 1578989505 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians

Taxonomy Code207RN0300X

License✔ Licensed in LA · MD.204452

Definition

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.

1908 ROYAL AVE, Monroe, LA 71201

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Other Identifiers 1

Medicaid2152203LA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 7

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

RENAL SERVICES OF NORTHEAST LOUISIANA A PROF MED CORP

Internal Medicine (Nephrology)