Washington Kidney Specialists,P.C

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

D78913 Issued in MD

Legal business name

WASHINGTON KIDNEY SPECIALISTS,P.C

Practice address

18310 Feathertree Way
Unit 104
Montgomery Village, MD 20886-6317

Phone

(215) 350-1155

NPI assigned

Jun 27, 2015

Organization subpart

No

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

Authorized official

Name

Sreekanth Ambati, MD

Title

President

Phone

(215) 350-1155

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1435363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435363200000",
    "number": "1619359536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18310 FEATHERTREE WAY",
            "address_2": "UNIT 104",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208866317",
            "telephone_number": "215-350-1155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18310 FEATHERTREE WAY",
            "address_2": "UNIT 104",
            "city": "MONTGOMERY VILLAGE",
            "state": "MD",
            "postal_code": "208866317",
            "telephone_number": "215-350-1155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WASHINGTON KIDNEY SPECIALISTS,P.C",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-27",
        "last_updated": "2015-06-27",
        "status": "A",
        "authorized_official_last_name": "AMBATI",
        "authorized_official_first_name": "SREEKANTH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "215-350-1155",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "MD",
            "license": "D78913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Primary Care Clinic/Center in Montgomery Village, MD
• Providers in Montgomery Village, MD by specialty
• Primary Care Clinic/Center in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2015; 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.