1942631825 NPI number — NEPHROLOGY ASSOCIATES OF GREATER CINCINNATI, LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942631825 NPI number — NEPHROLOGY ASSOCIATES OF GREATER CINCINNATI, LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
NEPHROLOGY ASSOCIATES OF GREATER CINCINNATI, 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:
1942631825
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/18/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4665 E GALBRAITH RD STE 101
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
CINCINNATI
Provider Business Mailing Address State Name:
OH
Provider Business Mailing Address Postal Code:
45236-2783
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
513-984-3500
Provider Business Mailing Address Fax Number:
513-791-2151

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4665 E GALBRAITH RD STE 101
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
CINCINNATI
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
45236-2783
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
513-791-2137
Provider Business Practice Location Address Fax Number:
513-791-2151
Provider Enumeration Date:
12/03/2013

Additional Information

Authorized Official

Authorized Official Last Name:
TINDNI
Authorized Official First Name:
ARSHDEEP
Authorized Official Middle Name:
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
513-984-3500

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .
  • Taxonomy code: 207RN0300X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .

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

  • Identifier: 0096016 , issued by the state of ( OH ) . This identifiers is of the category "MEDICAID".
  • Identifier: 7100342030 , issued by the state of ( KY ) . This identifiers is of the category "MEDICAID".
  • Identifier: IN2054001 . This is a "MEDICARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".
  • Identifier: DU7102 . This is a "RR MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: H136191 . This is a "MEDICARE" identifier , issued by the state of ( OH ) . This identifiers is of the category "OTHER".
  • Identifier: 201257820A , issued by the state of ( IN ) . This identifiers is of the category "MEDICAID".
  • Identifier: DV1148 . This is a "RR MEDICARE" identifier , issued by the state of ( IN ) . This identifiers is of the category "OTHER".




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