Organization
ATLANTA KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HANIF BOGHANI MD (OWNER)
(404) 933-2438
Entity
Organization
Contact information
Practice address
1462 MONTREAL RD STE 214, TUCKER, GA 30084-6931
(770) 939-2020
(770) 939-6688
Mailing address
PO BOX 467071, ATLANTA, GA 31146-7071
(770) 939-2020
(770) 939-6688
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
047929
—
Other
Enumeration date
07/27/2018
Last updated
07/27/2018
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