Provider Demographics
NPI:1407275712
Name:INTERNATIONAL NEPHROLOGY CONSULTING LLC
Entity Type:Organization
Organization Name:INTERNATIONAL NEPHROLOGY CONSULTING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED DIETITIAN
Authorized Official - Prefix:MR
Authorized Official - First Name:VISHAL
Authorized Official - Middle Name:
Authorized Official - Last Name:BAGCHI
Authorized Official - Suffix:
Authorized Official - Credentials:RD, LD
Authorized Official - Phone:214-736-7969
Mailing Address - Street 1:6549 COPPERFIELD LN
Mailing Address - Street 2:
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75023-3464
Mailing Address - Country:US
Mailing Address - Phone:214-736-7969
Mailing Address - Fax:
Practice Address - Street 1:6549 COPPERFIELD LN
Practice Address - Street 2:
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75023-3464
Practice Address - Country:US
Practice Address - Phone:214-736-7969
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-15
Last Update Date:2014-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TXDT80358133VN1005X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133VN1005XDietary & Nutritional Service ProvidersDietitian, RegisteredNutrition, RenalGroup - Multi-Specialty