NEPHRON CORPORATION NPI 1962658807

NPI Information

NPI: 1962658807
Provider Name: NEPHRON CORPORATION

Doing Business As: DULUTH DIALYSIS CENTER

Classification: Clinic/Center - 261QE0700X
Entity Type: Organization

Specialization: End-Stage Renal Disease (ESRD) Treatment

Address:
3770 HOWELL FERRY ROAD
DULUTH, GA
ZIP 30096
Phone: (678) 495-0410
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NEPHRON CORPORATION is an end-stage renal disease (esrd) treatment clinic center in Duluth, GA. NEPHRON CORPORATION NPI is 1962658807. The provider is registered as an organization entity type.
The provider Is Doing Business As Duluth Dialysis Center.

The provider's business location address is:

3770 HOWELL FERRY ROAD
DULUTH, GA
ZIP 30096
Phone: (678) 495-0410
Fax: (678) 495-0408

The provider's authorized official is Kirti K Shah .
The authorized official title is Medical Director and has the following contact phone number (770) 962-1231.

The CLIA number assigned to this NPI record is 11D1099369 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/12/2008 and was last updated on 2/3/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QE0700X	Clinic/Center	End-Stage Renal Disease (ESRD) Treatment			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	112809	MEDICARE PIN	GEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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