Organization
KIDNEY INSTITUTE OF NORTH DAKOTA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KHALED RABADI MD (MEMBER)
(701) 795-1300
Entity
Organization
Contact information
Practice address
1451 - 44TH AVENUE SOUTH SUITE 112-D, GRAND FORKS, ND 58201-4055
(701) 795-1300
(701) 775-5200
Mailing address
1451 - 44TH AVENUE SOUTH SUITE 112-D, GRAND FORKS, ND 58201-4055
(701) 795-1300
(701) 775-5200
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
ND
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01574
—
ND
05
—
899627000
—
MN
Enumeration date
08/25/2005
Last updated
07/28/2014
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