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Organization
LAUREL KIDNEY SPECIALISTS,P.C.
Active
Organization
LAUREL KIDNEY SPECIALISTS,P.C.
Active
Other names
Sunil K. Soi, M.D.,P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
FAINA GUREVICH MD (OWNER)
(814) 266-9919
Entity
Organization
Contact information
Practice address
350 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 266-9919
(814) 266-0499
Mailing address
350 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 266-9919
(814) 266-0499
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD-040257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012593800007
—
PA
01
—
1034448
GATEWAY HEALTH PLAN
PA
01
—
125085
UNISON HEALTH PLAN
PA
01
—
2121305000
INDEPENDENCE BLUE SHIELD
PA
01
—
227425
HEALTH AMERICA
PA
01
—
390008059
RAILROAD MEDICARE
PA
01
—
691538
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/20/2006
Last updated
02/10/2015
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