Provider Demographics
NPI:1922477835
Name:ADULT HYPERTENSION AND KIDNEY SPECIALISTS LLC
Entity Type:Organization
Organization Name:ADULT HYPERTENSION AND KIDNEY SPECIALISTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/ OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIUS
Authorized Official - Middle Name:
Authorized Official - Last Name:KURIAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:937-244-3783
Mailing Address - Street 1:2200 N LIMESTONE ST STE 114
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:45503-2692
Mailing Address - Country:US
Mailing Address - Phone:937-244-3783
Mailing Address - Fax:
Practice Address - Street 1:2200 N LIMESTONE STREET SUITE 114
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:OH
Practice Address - Zip Code:45503-1171
Practice Address - Country:US
Practice Address - Phone:937-322-7364
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-21
Last Update Date:2016-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH35065911OtherOHIO LICENSE NUMBER
OH0146549Medicaid