Organization
BLOOMINGTON KIDNEY & HYPERTENSION SPECIALISTS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HIDEKI KAWANISHI MD (PRESIDENT)
(812) 333-8194
Entity
Organization
Contact information
Practice address
515 S WOODSCREST DR, BLOOMINGTON, IN 47401
(812) 333-8194
(812) 333-8237
Mailing address
PO BOX 6715, BLOOMINGTON, IN 47407-6715
(812) 333-8194
(812) 333-8237
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200498840A
—
IN
Enumeration date
08/19/2006
Last updated
04/19/2023
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