Organization
HOPE KIDNEY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SIRISHA GUTHIKONDA MD (PRESIDENT)
(770) 765-3766
Entity
Organization
Contact information
Practice address
460 NORTHSIDE CHEROKEE BLVD STE 430, CANTON, GA 30115-8020
(770) 765-3766
Mailing address
12460 CRABAPPLE RD # 202-158, ALPHARETTA, GA 30004-6602
(770) 765-3766
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
80747
LICENSE
GA
Enumeration date
01/06/2021
Last updated
01/06/2021
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up