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LAKESHORE KIDNEY CARE, PLLC
NPI 1932788346
Internal Medicine - Nephrology in Wayne, MI

Active since April 03, 2021
4811 VENOY RD, WAYNE, MI 48184(734) 366-1361(734) 366-1359 Get Directions Write a Review

NPPES record last updated: April 3, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Lakeshore Kidney Care, Pllc NPPES

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

LAKESHORE KIDNEY CARE, PLLC (NPI 1932788346) is a healthcare organization registered as a nephrology in Wayne, Michigan and active in the NPI registry since April 2021. The organization lists Mansur Khalid Pathan, Owner, as its authorized official.

NPPES Registry Identity

NPI1932788346
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameLAKESHORE KIDNEY CARE, PLLC
Location Address4811 VENOY RDWayne, MI 48184-2675
Mailing Address46671 Pinehurst CirNorthville, MI 48168-8488 · (734) 366-1361
Phone(734) 366-1361
Fax(734) 366-1359
Organization SubpartNo
Authorized OfficialMansur Khalid PathanOwner · (734) 366-1361
Enumeration DateApril 3, 2021
NPPES CertifiedMarch 16, 2021
✔ NPI 1932788346 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
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.

4811 VENOY RD, Wayne, MI 48184
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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

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Care Network of Michigan, Blue Cross Blue Shield of Michigan Mutual Insurance Company.Insurance ›

Other Providers at the Same Location NPPES 4

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

LEELA SURULINARAYANASAMI MD PC
Obstetrics & Gynecology
4811 VENOY RD
WAYNE, MI 48184
Wayne County (734) 721-0707
WAYNE CITY PHARMACY LLC
Pharmacy (Community/Retail Pharmacy)
4811 VENOY RD
WAYNE, MI 48184
Wayne County (734) 326-6600
ASTORIA MEDICAL P C
Clinic/Center
4811 VENOY RD, SUITE 300
WAYNE, MI 48184
Wayne County (734) 722-9022
LEELA SURULI MD PC
Obstetrics & Gynecology (Gynecology)
4811 VENOY RD
WAYNE, MI 48184
Wayne County (734) 721-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lakeshore Kidney Care, PLLC's NPI number?

The NPI number for Lakeshore Kidney Care, PLLC is 1932788346. It was assigned to this organization in the NPPES registry on April 3, 2021.

Where is Lakeshore Kidney Care, PLLC located?

Lakeshore Kidney Care, PLLC is located at 4811 Venoy Rd, Wayne, MI 48184. The listed phone number is (734) 366-1361.

What is Lakeshore Kidney Care, PLLC's specialty?

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

What insurance does Lakeshore Kidney Care, PLLC accept?

Health plans from Blue Care Network of Michigan and Blue Cross Blue Shield of Michigan Mutual Insurance Company list Lakeshore Kidney Care, PLLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Lakeshore Kidney Care, PLLC was last updated on April 3, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.