The Kidney Center of Charleston LLC

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

THE KIDNEY CENTER OF CHARLESTON LLC

Practice address

1481 Tobias Gadson Blvd
Suite 2a
Charleston, SC 29407-4794

Phone

(843) 270-3853

Fax

(866) 342-9587

NPI assigned

May 18, 2011

Organization subpart

No

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

Authorized official

Name

Henry Buenor Ayiku, M.D.

Title

Owner

Phone

(843) 532-4185

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1305676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336953600000",
    "number": "1265725659",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "191 SWEET GARDEN CT",
            "city": "MT PLEASANT",
            "state": "SC",
            "postal_code": "294647838",
            "telephone_number": "843-532-4185",
            "fax_number": "866-342-9587"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1481 TOBIAS GADSON BLVD",
            "address_2": "SUITE 2A",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294074794",
            "telephone_number": "843-270-3853",
            "fax_number": "866-342-9587"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDNEY CENTER OF CHARLESTON LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-05-18",
        "last_updated": "2012-05-14",
        "status": "A",
        "authorized_official_last_name": "AYIKU",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "BUENOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "843-532-4185",
        "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": [],
    "endpoints": [],
    "other_names": []
}

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• Nephrology Physician in Charleston, SC
• Providers in Charleston, SC by specialty
• Nephrology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.