Dialysis Center of Wabash Valley

Primary specialty

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

Legal business name

DIALYSIS CENTER OF WABASH VALLEY

Practice address

615 8TH Ave
Terre Haute, IN 47804-2743

Phone

(812) 238-1400

Fax

(812) 235-7689

NPI assigned

May 12, 2006

Organization subpart

No

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

Authorized official

Name

Sisir Khumar Dhar, MD

Title

Owner

Phone

(812) 238-1400

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1649221904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042743",
            "telephone_number": "812-238-1400",
            "fax_number": "812-235-7689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "615 8TH AVE",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478042743",
            "telephone_number": "812-238-1400",
            "fax_number": "812-235-7689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIALYSIS CENTER OF WABASH VALLEY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DHAR",
        "authorized_official_first_name": "SISIR",
        "authorized_official_middle_name": "KHUMAR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "812-238-1400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary M Devoe
• Randal Dewell, LMHC
• Maria Dewey
• Tera Dewig
• Asuncion U Dewitt, M.D.
• Shanaylee Diaz
• Timothy Diaz, DO
• Marcus M Dick, MD
• Kambri Dickerson
• Nathan Robert Dickman

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Terre Haute, IN
• Providers in Terre Haute, IN by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.