Organization Active NPI

South East Kidney Home Dialysis

Doing business as SK Home Dialysis

  • Renal Dialysis Technician
  • Lawrenceville, GA
National Provider Identifier
1205748035
Registry record updated Sep 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Renal Dialysis TechnicianTaxonomy code 2472R0900X
Legal business name
SOUTH EAST KIDNEY HOME DIALYSIS
Doing business as
SK Home Dialysis
Practice address
310 Philip Blvd
Lawrenceville, GA 30046-8700
Phone
(404) 410-3970
NPI assigned
Sep 17, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 17, 2026

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

Authorized official

Name
Dr. Tarik Lalwani, MD
Title
Owner Physician
Phone
(404) 410-3970

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Renal Dialysis TechnicianGroup: 193400000X SINGLE SPECIALTY GROUP 2472R0900X Primary

Addresses

Primary practice location

310 Philip Blvd
Lawrenceville, GA 30046-8700

Mailing address

310 Philip Blvd
Lawrenceville, GA 30046-8700
Phone (404) 410-3970

Other names 1

  • SK Home Dialysis Doing business as

NPI Registry JSON

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

{
    "created_epoch": "1789603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789603200000",
    "number": "1205748035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "404-410-3970"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 PHILIP BLVD",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300468700",
            "telephone_number": "404-410-3970"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH EAST KIDNEY HOME DIALYSIS",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-09-17",
        "last_updated": "2026-09-17",
        "certification_date": "2026-09-17",
        "status": "A",
        "authorized_official_last_name": "LALWANI",
        "authorized_official_first_name": "TARIK",
        "authorized_official_title_or_position": "OWNER PHYSICIAN",
        "authorized_official_telephone_number": "404-410-3970",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2472R0900X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Other, Renal Dialysis",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "SK Home Dialysis",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.