Organization
ADVANCED KIDNEY SPECIALISTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHYAMAL SARKAR MD (PRESIDENT)
(731) 984-8390
Entity
Organization
Contact information
Practice address
170 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 984-8390
(731) 984-8392
Mailing address
170 MURRAY GUARD DR, JACKSON, TN 38305-3609
(731) 984-8390
(731) 984-8392
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
29600
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3714241
—
TN
Enumeration date
11/07/2006
Last updated
02/05/2024
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