Organization
WESTSIDE DIALYSIS UNIT LLC
Active
Organization
WESTSIDE DIALYSIS UNIT LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSES C EJIOFOR SR. M.D. (PHYSICIAN)
(501) 603-9277
Entity
Organization
Contact information
Practice address
1515 KANIS PARK DR, SUITE A, LITTLE ROCK, AR 72205-4569
(501) 603-9277
(501) 603-9877
Mailing address
1515 KANIS PARK DR, SUITE B, LITTLE ROCK, AR 72205-4569
(501) 603-9277
(501) 603-9277
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
211230134
—
AR
Enumeration date
02/25/2011
Last updated
07/21/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up