Organization
AMERICAN KIDNEY CENTER OF MADISON LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAI P BHIMINI MD (MEMBER MANAGER)
(502) 523-4535
Entity
Organization
Contact information
Practice address
419 CLIFTY DR, MADISON, IN 47250-1607
(502) 583-1799
(502) 583-1792
Mailing address
721 S PRESTON ST, LOUISVILLE, KY 40203-2319
(502) 583-1799
(502) 583-1792
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
08/07/2017
Last updated
08/07/2017
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