Organization Active NPI

Avi Georgia Albany Dialysis LLC

  • End-Stage Renal Disease (ESRD) Treatment Clinic/Center
  • Albany, GA
National Provider Identifier
1548905482
Registry record updated May 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X
Legal business name
AVI GEORGIA ALBANY DIALYSIS LLC
Practice address
507 W 3Rd Ave Ste 6B
Albany, GA 31701-1946
Phone
(413) 800-9383
NPI assigned
May 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2022

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

Authorized official

Name
Mr. Aman Khanuja
Title
Owner
Phone
(413) 800-9383

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Primary

Addresses

Primary practice location

507 W 3Rd Ave Ste 6B
Albany, GA 31701-1946

Mailing address

507 W 3Rd Ave Ste 6B
Albany, GA 31701-1946

National Provider Directory

National Provider Directory

Locations

507 W 3rd Ave
Ste 6B
Albany, GA 31701
Phone (413) 800-9383

NPI Registry JSON

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

{
    "created_epoch": "1651622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1651622400000",
    "number": "1548905482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "507 W 3RD AVE STE 6B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011946"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "507 W 3RD AVE STE 6B",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317011946",
            "telephone_number": "413-800-9383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVI GEORGIA ALBANY DIALYSIS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-04",
        "last_updated": "2022-05-04",
        "certification_date": "2022-05-04",
        "status": "A",
        "authorized_official_last_name": "KHANUJA",
        "authorized_official_first_name": "AMAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "413-800-9383",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, GA

Sources for this page

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