Bowling Green Dialysis Center Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

300032 Issued in KY

Legal business name

BOWLING GREEN DIALYSIS CENTER INC

Practice address

1834 Lyda Ave
Bowling Green, KY 42104-3361

Phone

(270) 782-1318

Fax

(270) 793-9558

NPI assigned

Sep 12, 2005

Organization subpart

No

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

Authorized official

Name

Dr. Rajanthan Karalakulasingam, M.D.

Title

President/Director

Phone

(502) 458-6359

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• Rajan Karalakulasingam Bowling Green Kidney Center Former legal business name

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

{
    "created_epoch": "1126483200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1224460800000",
    "number": "1497740997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4114 BROWNS LN",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402201534",
            "telephone_number": "502-458-6359",
            "fax_number": "502-459-8626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1834 LYDA AVE",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421043361",
            "telephone_number": "270-782-1318",
            "fax_number": "270-793-9558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOWLING GREEN DIALYSIS CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-12",
        "last_updated": "2008-10-20",
        "status": "A",
        "authorized_official_last_name": "KARALAKULASINGAM",
        "authorized_official_first_name": "RAJANTHAN",
        "authorized_official_title_or_position": "PRESIDENT/DIRECTOR",
        "authorized_official_telephone_number": "502-458-6359",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "KY",
            "license": "300032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000054740",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39090048",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALL OTHER",
            "identifier": "610939927",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rajan Karalakulasingam Bowling Green Kidney Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Stephanie Bouchard, DO
• Rene Albert Boucher, DO
• Kimberly Dawn Bowen, PT
• Bowling Green Anesthesiology Associates, PSC
• Bowling Green Dermatology & Skin Cancer Specialists PLLC
• Bowling Green Emergency Services, LLC
• Bowling Green Family Chiropractic PLLC
• Bowling Green Health Center LLC
• Bowling Green Health Facilities LP
• Bowling Green Independent Schools

• All providers in Bowling Green, KY
• Specialist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2008; 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.