Organization
KUMAR DIALYSIS LLC
Active
Other names
LOUISA FORT GAY REGIONAL DIALYSIS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SUBHASH KUMAR M.D. (OWNER MEDICAL DIRECTOR)
(304) 654-8074
Entity
Organization
Contact information
Practice address
2145 HIGHWAY 2565, LOUISA, KY 41230-9166
(606) 638-3403
(606) 638-3404
Mailing address
1656 13TH AVE, HUNTINGTON, WV 25701-3829
(304) 529-2062
(304) 522-2658
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000494344
ANTHEM BCBS PROVIDER NUMB
KY
01
—
1164474425
S. KUMAR INDIVIDUAL NPI
—
01
—
182580
MEDICARE PART A
KY
05
—
3810006539
—
WV
05
—
7100007940
—
KY
Enumeration date
04/16/2007
Last updated
06/18/2008
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