Renal MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

10332R Issued in LA

Legal business name

RENAL MD LLC

Practice address

3939 Houma Blvd
Building 3 Suite 7
Metairie, LA 70006-2931

Phone

(504) 373-5539

Fax

(504) 373-6151

NPI assigned

Oct 19, 2007

Last updated

Mar 4, 2008By 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

Dr. Sudhir K Julka, MDNPI 1750498499

Title

Owner

Phone

(504) 373-5539

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 1

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.

• Sudhir K Julka, MD

  • Nephrology Physician
  • Metairie, LA
  • NPI 1750498499
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1192752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204588800000",
    "number": "1073702601",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "BUILDING 3 SUITE 7",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-373-5539",
            "fax_number": "504-373-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3939 HOUMA BLVD",
            "address_2": "BUILDING 3 SUITE 7",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700062931",
            "telephone_number": "504-373-5539",
            "fax_number": "504-373-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENAL MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-19",
        "last_updated": "2008-03-04",
        "status": "A",
        "authorized_official_last_name": "JULKA",
        "authorized_official_first_name": "SUDHIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-373-5539",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "10332R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986224",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Renal Life Link Inc (Metairie Dialysis Center)
• Rene Koppel, M.D. - a Professional Medical Corporation
• Rene L. Deboisblanc, MD LLC
• Renewed Hope Behavioral Health
• Resolute Healthcare LLC
• Resolve Molecular Diagnostics LLC

• Specialist in Metairie, LA
• Providers in Metairie, LA by specialty
• Specialist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.