Organization Name: | NEPHRON CORPORATION |
NPI Number: | 1386087989 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | KIRTI K SHAH (MEDICAL DIRECTOR/PRESIDENT) |
Mailing Address: | 4585 Nelson Brogdon Blvd Sugar Hill |
State: | GA US |
Postal Code: | 305183466 |
Phone Number: | 7709621231 |
Fax Number: | 6783253345 |
NPI Enumeration Date: | 04/12/2013 |
NPI Last Update Date: | 04/07/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |