Organization
DANVILLE NEPHROLOGY CONSULTANTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TARIQ MUHAMMAD MD (OWNER)
(859) 236-9203
Entity
Organization
Contact information
Practice address
439 W WALNUT ST, STE 201, DANVILLE, KY 40422-1852
(859) 236-9203
(859) 236-6754
Mailing address
PO BOX 368, DANVILLE, KY 40423-0368
(859) 236-9203
(859) 236-6754
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
KY30622
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000077435
ANTHEM BCBS
KY
05
—
64306228
—
KY
01
—
CH6075
RAILROAD MCARE
KY
Enumeration date
10/25/2007
Last updated
10/25/2007
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