1275870123 NPI number — GADSDEN NEPHROLOGY LLC

Table of content: (NPI 1275870123)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1275870123 NPI number — GADSDEN NEPHROLOGY LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
GADSDEN NEPHROLOGY LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1275870123
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
01/12/2013
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
104 LOWES BLVD
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
RAINBOW CITY
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35906-3132
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
816-916-1103
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
425 S 3RD ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GADSDEN
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35901-5210
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-543-3508
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
01/12/2013

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
KABIR
Authorized Official First Name:
MOHAMMAD
Authorized Official Middle Name:
HUMAYUN
Authorized Official Title or Position:
CONTROLLING OWNER
Authorized Official Telephone Number:
816-916-1103

Provider Taxonomy Codes

  • Taxonomy code: 207RN0300X , with the licence number:  MD.29441 , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)