SNG - League City Dialysis LP

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

SNG - LEAGUE CITY DIALYSIS LP

Practice address

2785 Gulf Fwy S Ste 145
League City, TX 77573-4996

Phone

(832) 340-2404

Fax

(832) 340-2408

NPI assigned

Dec 6, 2010

Organization subpart

No

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

Authorized official

Name

Kinam C. Martin

Title

Chief Operations Officer

Phone

(817) 725-7900

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tejinder Singh Ahuja, M.D.

  • Nephrology Physician
  • Webster, TX
  • NPI 1144277294
  NPD (past)

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

{
    "created_epoch": "1291593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1366745879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 W CANNON ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761043029",
            "telephone_number": "817-725-7900",
            "fax_number": "682-207-1030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2785 GULF FWY S STE 145",
            "city": "LEAGUE CITY",
            "state": "TX",
            "postal_code": "775734996",
            "telephone_number": "832-340-2404",
            "fax_number": "832-340-2408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SNG - LEAGUE CITY DIALYSIS LP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-06",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "KINAM",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CHIEF OPERATIONS OFFICER",
        "authorized_official_telephone_number": "817-725-7900"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "364697801",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY LICENSE",
            "identifier": "110079",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamie Sue Smith, LCDC
• Latanya Denise Smith, APRN, FNP-C
• Mikel Smith
• Myia Smith
• Leah Marie Smythe, PA
• So, TX. Aesthetic Enhancement Center
• Stephanie Lynn Soares, MA CCC-SLP
• Daneshvari R Solanki, FFARCS
• Ahmed H Soliman, DC
• Zyaad Hesham-Adel Soliman, DC

• All providers in League City, TX
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.