Provider Demographics
NPI:1831729912
Name:COLUMBUS KIDNEY DIALYSIS LLC
Entity type:Organization
Organization Name:COLUMBUS KIDNEY DIALYSIS LLC
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:
Authorized Official - Phone:614-389-0581
Mailing Address - Street 1:PO BOX 550
Mailing Address - Street 2:
Mailing Address - City:LEWIS CENTER
Mailing Address - State:OH
Mailing Address - Zip Code:43035-0550
Mailing Address - Country:US
Mailing Address - Phone:614-389-0581
Mailing Address - Fax:
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:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-01-17
Last Update Date:2020-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty