Provider Demographics
NPI:1235718008
Name:SUBURBAN KIDNEY CARE, PC
Entity Type:Organization
Organization Name:SUBURBAN KIDNEY CARE, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/NEPHROLOGIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NIRAV
Authorized Official - Middle Name:
Authorized Official - Last Name:PARIKH
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:470-649-3900
Mailing Address - Street 1:6330 PRIMROSE HILL CT STE 106
Mailing Address - Street 2:
Mailing Address - City:NORCROSS
Mailing Address - State:GA
Mailing Address - Zip Code:30092-4544
Mailing Address - Country:US
Mailing Address - Phone:470-649-3900
Mailing Address - Fax:
Practice Address - Street 1:6330 PRIMROSE HILL CT # 106
Practice Address - Street 2:
Practice Address - City:PEACHTREE CORNERS
Practice Address - State:GA
Practice Address - Zip Code:30092-4544
Practice Address - Country:US
Practice Address - Phone:678-520-4361
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-04-07
Last Update Date:2021-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty