Organization
CAROLINA KIDNEY SPECIALISTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MUHAMMAD ISLAM M.D. (PRESIDENT)
(803) 256-1137
Entity
Organization
Contact information
Practice address
1655 BERNARDIN AVE, SUITE 200, COLUMBIA, SC 29204-2039
(803) 256-1137
(803) 256-1138
Mailing address
PO BOX 50183, COLUMBIA, SC 29250-0183
(803) 256-1137
(803) 256-1138
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
17200
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DF3940
MEDICARE RR
SC
05
—
GP4529
—
SC
Enumeration date
10/18/2006
Last updated
01/02/2008
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