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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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