Provider Demographics
NPI:1467728097
Name:KIDNEY DIALYSIS AND HYPERTENSION SPECIALISTS
Entity Type:Organization
Organization Name:KIDNEY DIALYSIS AND HYPERTENSION SPECIALISTS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:LUANA
Authorized Official - Middle Name:
Authorized Official - Last Name:PILLON
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:646-285-8836
Mailing Address - Street 1:PO BOX 370494
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89137-0494
Mailing Address - Country:US
Mailing Address - Phone:646-285-8836
Mailing Address - Fax:
Practice Address - Street 1:7908 W SAHARA AVE
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-1990
Practice Address - Country:US
Practice Address - Phone:702-600-8086
Practice Address - Fax:866-606-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-03-28
Last Update Date:2020-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV13114207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty