Provider Demographics
NPI:1295436087
Name:KIDNEY AND HYPERTENSION SPECIALISTS, PLLC
Entity type:Organization
Organization Name:KIDNEY AND HYPERTENSION SPECIALISTS, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KUMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:GAURAV
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:812-244-9104
Mailing Address - Street 1:1801 N 6TH ST STE 200
Mailing Address - Street 2:
Mailing Address - City:TERRE HAUTE
Mailing Address - State:IN
Mailing Address - Zip Code:47804-4086
Mailing Address - Country:US
Mailing Address - Phone:812-244-9104
Mailing Address - Fax:812-238-4718
Practice Address - Street 1:1801 N 6TH ST STE 200
Practice Address - Street 2:
Practice Address - City:TERRE HAUTE
Practice Address - State:IN
Practice Address - Zip Code:47804-4086
Practice Address - Country:US
Practice Address - Phone:812-244-9104
Practice Address - Fax:812-238-4718
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-17
Last Update Date:2023-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty