Kidney Hypertension Clinic, PC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

KIDNEY HYPERTENSION CLINIC, PC

Practice address

605 Old Norcross Rd
Lawrenceville, GA 30045-4315

Phone

(770) 962-1231

NPI assigned

Aug 23, 2006

Last updated

Nov 15, 2007By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kirti K Shah, M.D.NPI 1700881612

Title

President

Phone

(770) 962-1231

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kirti K Shah, MD

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1700881612
  Medicare reassignment Care Compare group NPD Authorized official
• Pranab K Chattopadhyay, MD

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1932127685
  Medicare reassignment Care Compare group NPD
• Piyush I Patel, M.D.

  • Specialist
  • Lawrenceville, GA
  • NPI 1356392039
  Medicare reassignment Care Compare group NPD
• Conjeevaram R Kesavan, MD

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1912968801
  Medicare reassignment NPD
• Tarik Lalwani, MD

  • Nephrology Physician
  • Atlanta, GA
  • NPI 1376606087
  Medicare reassignment NPD
• Myreon Williams, M.D.

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1467520460
  Medicare reassignment NPD
• Pradeep Reddy Thodima, MD

  • Nephrology Physician
  • Bloomington, IN
  • NPI 1720376197

  GA

  Medicare reassignment NPD
• Florin C Georgescu, M. D.

  • Nephrology Physician
  • Lawrenceville, GA
  • NPI 1003816208
  Medicare reassignment
• Zhiqiang Zhang, MD

  • Nephrology Physician
  • Dublin, GA
  • NPI 1639105620
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1156291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1195084800000",
    "number": "1043327513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "605 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454315"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 OLD NORCROSS RD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300454315",
            "telephone_number": "770-962-1231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDNEY HYPERTENSION CLINIC, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-23",
        "last_updated": "2007-11-15",
        "status": "A",
        "authorized_official_last_name": "SHAH",
        "authorized_official_first_name": "KIRTI",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-962-1231",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3048",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sofia Naz-Orakzai Khan, M.D.
• Anita Singh Khichi, MD
• Thai Thanh Khuong, DPT
• Jenear Wimbley Kidd
• Kidney Care Center Gwinnett LLC
• Kidney Specialists of Georgia PC
• Kids Choice Pediatrics,LLC (Venkateswara Rao Dikkala, M.D.)
• Kids Club ABA Ga LLC (Kids Club ABA)
• Kids Talk Therapy
• Kids Time Pediatrics of Gwinnett LLC (Kids Time Pediatrics)

• Nephrology Physician in Lawrenceville, GA
• Providers in Lawrenceville, GA by specialty
• Nephrology Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.