Provider Demographics
NPI:1043941297
Name:RESET KIDNEY LLC
Entity Type:Organization
Organization Name:RESET KIDNEY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:ARUN
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARMA
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER
Authorized Official - Phone:412-880-9378
Mailing Address - Street 1:PO BOX 2270
Mailing Address - Street 2:
Mailing Address - City:EDISON
Mailing Address - State:NJ
Mailing Address - Zip Code:08818-2270
Mailing Address - Country:US
Mailing Address - Phone:412-880-9378
Mailing Address - Fax:
Practice Address - Street 1:4770 WOODMERE BLVD STE C4
Practice Address - Street 2:
Practice Address - City:MONTGOMERY
Practice Address - State:AL
Practice Address - Zip Code:36106-3083
Practice Address - Country:US
Practice Address - Phone:412-880-9378
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-20
Last Update Date:2022-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty