Great Falls Nephrology Associates PC

Organization Active NPI Nephrology Physician · Great Falls, MT

NPI 1669739017 · NPPES record last updated May 23, 2012

Key facts

NPI
1669739017
Entity type
Organization (NPI type 2)
Primary specialty
Nephrology Physician 207RN0300X
License
10588 (MT)
Legal business name
GREAT FALLS NEPHROLOGY ASSOCIATES PC
Practice address
2800 11TH Ave S
Suite 29
Great Falls, MT 59405-5263
Phone
(406) 622-3357
Fax
(406) 622-5477
NPI assigned
Apr 23, 2012
Organization subpart
No

Authorized official

Name
Varghese Parambi, MD
Title
Owner
Phone
(406) 622-5955

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician
Group: 193400000X SINGLE SPECIALTY GROUP
207RN0300X 10588 MT Yes

Addresses

Primary practice location

2800 11TH Ave S
Suite 29
Great Falls, MT 59405-5263

Mailing address

2800 11TH Ave S
Suite 29
Great Falls, MT 59405-5263
Phone (406) 622-3357

Other identifiers

IdentifierTypeStateIssuer
10588OtherMTLICENSE

Other providers in Great Falls, MT

All providers in Great Falls, MT · Nephrology Physician in Montana

Sources for this page

Verify at the official NPI Registry.