# BOWLING GREEN DIALYSIS CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rajan Karalakulasingam Bowling Green Kidney Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497740997
- **Authorized official:** DR. RAJANTHAN KARALAKULASINGAM M.D. (PRESIDENT/DIRECTOR)
- **Authorized official phone:** (502) 458-6359

## Contact information

- **Practice address:** 1834 LYDA AVE, BOWLING GREEN, KY 42104-3361
- **Practice address phone:** (270) 782-1318
- **Practice address fax:** (270) 793-9558
- **Mailing address:** 4114 BROWNS LN, LOUISVILLE, KY 40220-1534
- **Mailing address phone:** (502) 458-6359
- **Mailing address fax:** (502) 459-8626

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174400000X | Specialist | 300032 | KY | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 10/20/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000000054740 | ANTHEM | KY |
| 05 | — | 39090048 | — | KY |
| 01 | — | 610939927 | ALL OTHER | KY |