Organization
AMERICAN HOME DIALYSIS, LLC
Active
Organization
AMERICAN HOME DIALYSIS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAI P BHIMANI MD (MEDICAL DIRECTOR)
(502) 523-4535
Entity
Organization
Contact information
Practice address
234 E GRAY ST, SUITE 858, LOUISVILLE, KY 40202-1927
(513) 673-5245
(866) 352-4339
Mailing address
234 E GRAY ST, SUITE 858, LOUISVILLE, KY 40202-1927
(513) 673-5245
(866) 352-4339
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
300225
KY
Other
Enumeration date
09/13/2010
Last updated
07/31/2012
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