Provider Demographics
NPI:1033511092
Name:INFINITI DIALYSIS CENTER OF CINCINNATI LLC.
Entity Type:Organization
Organization Name:INFINITI DIALYSIS CENTER OF CINCINNATI LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ARSHDEEP
Authorized Official - Middle Name:
Authorized Official - Last Name:TINDNI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-604-2967
Mailing Address - Street 1:4665 E GALBRAITH RD STE 102
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45236-2783
Mailing Address - Country:US
Mailing Address - Phone:513-791-2137
Mailing Address - Fax:513-791-2151
Practice Address - Street 1:4665 E GALBRAITH RD STE 102
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45236-2783
Practice Address - Country:US
Practice Address - Phone:513-791-2152
Practice Address - Fax:513-791-2151
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2022-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
261QE0700X
OH261QE0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QE0700XAmbulatory Health Care FacilitiesClinic/CenterEnd-Stage Renal Disease (ESRD) Treatment
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0144759Medicaid
OH1120DCOtherFACILITY ID
OH1120DCOtherFACILITY ID