Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kidney Disease Specialist PLLC

Organization Internal Medicine Physician · NPI 1104189448

Kidney Disease Specialist PLLC is an Internal Medicine Physician in Canton, Michigan. Licensed in Michigan. Registered with an NPI since 2012.

Licensed in
MI
In the registry since
2012
Specialties on file
2
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

41750 Michigan Ave
Canton, MI 48188-2679
Phone: (734) 398-0444
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 4301077743 (MI)
Internal Medicine Physician Taxonomy 207R00000X · Licence 4301077743 (MI)

Record details

NPI number1104189448
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Kashif Chaudhry — M.D · (248) 943-2986
NPI enumeratedJune 21, 2012
Last updated in NPPESJune 21, 2012
Mailing address41750 Michigan Ave, Canton, MI 48188-2679

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