Provider Demographics
NPI:1457844599
Name:KIDNEY & HYPERTENSION SPECIALISTS OF JACKSON PIKETON AND CHILLICOTHE L
Entity Type:Organization
Organization Name:KIDNEY & HYPERTENSION SPECIALISTS OF JACKSON PIKETON AND CHILLICOTHE L
Other - Org Name:KHS OF JPC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAKHAN
Authorized Official - Middle Name:K
Authorized Official - Last Name:SAHA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-361-5018
Mailing Address - Street 1:200 BRADENTON AVE
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-7515
Mailing Address - Country:US
Mailing Address - Phone:614-793-1980
Mailing Address - Fax:
Practice Address - Street 1:3 ACY AVE
Practice Address - Street 2:
Practice Address - City:JACKSON
Practice Address - State:OH
Practice Address - Zip Code:45640-9561
Practice Address - Country:US
Practice Address - Phone:614-361-5018
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-13
Last Update Date:2018-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty