Provider Demographics
NPI:1700878360
Name:NEPHROLOGY ASSOCIATES, PC
Entity Type:Organization
Organization Name:NEPHROLOGY ASSOCIATES, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CREDENTIALING
Authorized Official - Prefix:
Authorized Official - First Name:ASHISH
Authorized Official - Middle Name:
Authorized Official - Last Name:SONI
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:615-356-4111
Mailing Address - Street 1:201 ROSA HELM WAY
Mailing Address - Street 2:STE 200
Mailing Address - City:FRANKLIN
Mailing Address - State:TN
Mailing Address - Zip Code:37067-8415
Mailing Address - Country:US
Mailing Address - Phone:615-356-4111
Mailing Address - Fax:615-356-8011
Practice Address - Street 1:408 42ND AVE N
Practice Address - Street 2:STE 300
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37209-3669
Practice Address - Country:US
Practice Address - Phone:615-356-4111
Practice Address - Fax:615-356-8011
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-08-19
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY65919417Medicaid
TN3387607Medicaid
TN3387607Medicare PIN