Organization
DIALYSIS ACCESS SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TASNIM KHAN M.D. (DIRECTOR)
(340) 715-7720
Entity
Organization
Contact information
Practice address
5 ORANGE GROVE, CHRISTIANSTED, VI 00820
(340) 715-7720
(340) 713-9002
Mailing address
3004 ORANGE GROVE, SUITE 2, CHRISTIANSTED, VI 00820-4288
(340) 715-7720
(340) 713-9002
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
1674
VI
207R00000X
Internal Medicine Physician
1675
VI
207RN0300X
Nephrology Physician
Primary
1674
VI
207RN0300X
Nephrology Physician
1675
VI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1674
VIRGIN ISLANDS DEPARTMENT OF HEALTH
VI
01
—
1675
VI DEPARTMENT OF HEALTH
VI
05
—
1841598596
—
VI
Enumeration date
03/04/2011
Last updated
05/03/2021
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