Organization
PENNYRILE NEPHROLOGY ASSOCIATES, PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IMRAN DOSANI MD (PRESIDENT)
(270) 821-5726
Entity
Organization
Contact information
Practice address
1020 WATERFALL CT, MADISONVILLE, KY 42431-8079
(270) 821-5726
(270) 326-2090
Mailing address
1020 WATERFALL CT, MADISONVILLE, KY 42431-8079
(270) 821-5726
(270) 326-2090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
—
KY
207RN0300X
Nephrology Physician
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100284170
—
KY
Enumeration date
02/14/2014
Last updated
07/21/2022
Update your record
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