Provider Demographics
NPI:1497196026
Name:KIDNEY AND HYPERTENSION CENTER OF DELAWARE LLC
Entity Type:Organization
Organization Name:KIDNEY AND HYPERTENSION CENTER OF DELAWARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LAWAND
Authorized Official - Middle Name:
Authorized Official - Last Name:SAADULLA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:740-362-3670
Mailing Address - Street 1:36 TROY RD
Mailing Address - Street 2:
Mailing Address - City:DELAWARE
Mailing Address - State:OH
Mailing Address - Zip Code:43015-4503
Mailing Address - Country:US
Mailing Address - Phone:740-362-3670
Mailing Address - Fax:740-994-9218
Practice Address - Street 1:36 TROY RD
Practice Address - Street 2:
Practice Address - City:DELAWARE
Practice Address - State:OH
Practice Address - Zip Code:43015-4503
Practice Address - Country:US
Practice Address - Phone:740-368-3670
Practice Address - Fax:740-994-9218
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-07-11
Last Update Date:2013-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty