Kidney Disease Consultants, P.C.

LBN: Kidney Disease Consultants, P.C.
Kidney Disease Consultants, P.C. is an health care organization with primary practice located at 1890 Goodman Rd E Suite 101, Southaven MS 38671-9504. The organization recently has only one registered license in Other Service Providers / Specialist, which is considered as the primary health care specialty. Kidney Disease Consultants, P.C. can be contacted via phone (662) 536-1859, or through Adeleye, Olufemi via phone (901) 289-5206.

Contact Information

Primary practice address
1890 Goodman Rd E Suite 101 Southaven MS 38671-9504
Phone: (662) 536-1859
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Adeleye, Olufemi Doctor of Medicine (MD)
Phone: (901) 289-5206

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X

Profile Details

NPI number 1134260870
LBN Legal business name Kidney Disease Consultants, P.C.
DBA Doing business as
Authorized official Adeleye, Olufemi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 8th, 2007
Last updated Apr 3rd, 2015 - about 9 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134260870 NPPES
Tennessee MEDICAID 3724848
Tennessee Other 231379826
Tennessee MEDICAID 06530562
Tennessee Other 4093914

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