Provider Demographics
NPI:1518259423
Name:COLUMBUS KIDNEY CARE
Entity Type:Organization
Organization Name:COLUMBUS KIDNEY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:VARSHA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHARAT
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:614-839-0581
Mailing Address - Street 1:718 WORTHINGTON WOODS BLVD
Mailing Address - Street 2:
Mailing Address - City:WORTHINGTON
Mailing Address - State:OH
Mailing Address - Zip Code:43085-5713
Mailing Address - Country:US
Mailing Address - Phone:614-839-0581
Mailing Address - Fax:614-556-4804
Practice Address - Street 1:60 WESTERVIEW DR
Practice Address - Street 2:
Practice Address - City:WESTERVILLE
Practice Address - State:OH
Practice Address - Zip Code:43081-2682
Practice Address - Country:US
Practice Address - Phone:614-839-0581
Practice Address - Fax:614-556-4804
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-10
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty