The Kidney Clinic LLC

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

License

MD11617R Issued in LA

Legal business name

THE KIDNEY CLINIC LLC

Practice address

333 Dr Michael Debakey Dr
Suite 140
Lake Charles, LA 70601-5887

Phone

(337) 494-7090

Fax

(337) 494-7040

NPI assigned

Dec 7, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Abdel Farid Abu Shamat, M.DNPI 1528053824

Title

Member/President

Phone

(337) 494-7090

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Abdel Farid Abu Shamat, MD

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1528053824
  NPD Authorized official
• Megan Marie Hebert, NP

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1912401621
  NPD
• Lauryn Caitlin Leslie, APRN, FNP-C

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1194288266
  NPD
• Ahad Aftab Khan Lodhi, M.D.

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1982833851
  NPD
• Fahad Aftab Khan Lodhi, MD

  • Nephrology Physician
  • Lake Charles, LA
  • NPI 1669968301

  Single Specialty

  NPD

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

{
    "created_epoch": "1196985600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1260144000000",
    "number": "1760665129",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3230",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706023230",
            "telephone_number": "337-494-7090",
            "fax_number": "337-494-7040"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 DR MICHAEL DEBAKEY DR",
            "address_2": "SUITE 140",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706015887",
            "telephone_number": "337-494-7090",
            "fax_number": "337-494-7040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE KIDNEY CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-07",
        "last_updated": "2009-12-07",
        "status": "A",
        "authorized_official_last_name": "ABU SHAMAT",
        "authorized_official_first_name": "ABDEL",
        "authorized_official_middle_name": "FARID",
        "authorized_official_title_or_position": "MEMBER/PRESIDENT",
        "authorized_official_telephone_number": "337-494-7090",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "LA",
            "license": "MD11617R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1679232",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Health Service Clinic/Center in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Health Service Clinic/Center in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2009; 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.