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Jose Luis Henao, MD
Nephrology Physician in Rapid City, South Dakota
NPI 1275067613

Jose Luis Henao is a Nephrology Physician based in Rapid City, SD and is specialized in Nephrology. Jose Luis Henao practices in Rapid City, SD and has the professional credentials of MD. The NPI Number for Jose Luis Henao is 1275067613 and holds a License No. 13298 (South Dakota).

The current practice location address for Jose Luis Henao is 640 Flormann St, Rapid City, SD and can be reached out via phone at 605-755-3300.

Location: 640 Flormann St, Rapid City, SD, 57701-4679
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275067613
Provider Name
Jose Luis Henao
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
640 Flormann St, Rapid City, SD, 57701-4679
Phone Number
605-755-3300
Fax Number
Provider Enumeration Date
04/12/2017
Last Update Date
04/13/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6L7121 01 NM MEDICARE
15136728 05 NM
institution
Provider Business Practice Location Address Details
Address
640 Flormann St
City
Rapid City
State
South Dakota
Zip
57701-4679
Phone Number
605-755-3300
Fax Number
person
Provider Business Mailing Address Details
Address
640 Flormann St
City
Rapid City
State
South Dakota
Zip
57701-4679
Phone Number
605-755-3300
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
-
Taxonomy
207R00000X
License No.
MD2023-1540 (New Mexico)
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
()
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
13298 (South Dakota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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