Organization
KUMAR DIALYSIS LLC
Active
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
Update your record
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