Organization
LAUREL KIDNEY SPECIALISTS,P.C.
Active
Other names
Sunil K. Soi, M.D.,P.C.
Organization subpart
No
Provider details
NPI number
Authorized official
FAINA GUREVICH MD (OWNER)
(814) 266-9919
Entity
Organization
Contact information
Practice address
350 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 266-9919
(814) 266-0499
Mailing address
350 BUDFIELD ST, JOHNSTOWN, PA 15904-3214
(814) 266-9919
(814) 266-0499
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD-040257L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
012593800007
—
PA
01
—
1034448
GATEWAY HEALTH PLAN
PA
01
—
125085
UNISON HEALTH PLAN
PA
01
—
2121305000
INDEPENDENCE BLUE SHIELD
PA
01
—
227425
HEALTH AMERICA
PA
01
—
390008059
RAILROAD MEDICARE
PA
01
—
691538
HIGHMARK BLUE SHIELD
PA
Enumeration date
11/20/2006
Last updated
02/10/2015
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