Organization
BOWLING GREEN DIALYSIS CENTER INC
Active
Other names
Rajan Karalakulasingam Bowling Green Kidney Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAJANTHAN KARALAKULASINGAM M.D. (PRESIDENT/DIRECTOR)
(502) 458-6359
Entity
Organization
Contact information
Practice address
1834 LYDA AVE, BOWLING GREEN, KY 42104-3361
(270) 782-1318
(270) 793-9558
Mailing address
4114 BROWNS LN, LOUISVILLE, KY 40220-1534
(502) 458-6359
(502) 459-8626
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
300032
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000054740
ANTHEM
KY
05
—
39090048
—
KY
01
—
610939927
ALL OTHER
KY
Enumeration date
09/12/2005
Last updated
10/20/2008
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