Internal Medicine Nephrology, Inc.

Primary specialty

Nephrology PhysicianTaxonomy code 207RN0300X

Legal business name

INTERNAL MEDICINE NEPHROLOGY, INC.

Practice address

557 W Broadway St
Shelburn, IN 47879-1232

Phone

(812) 232-8716

Fax

(812) 232-7768

NPI assigned

May 16, 2007

Last updated

Nov 1, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sisir K Dhar, M.D.

Title

President

Phone

(812) 232-8716

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1193875200000",
    "number": "1851507693",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1625 N 4TH ST",
            "city": "TERRE HAUTE",
            "state": "IN",
            "postal_code": "478044067",
            "telephone_number": "812-232-8716",
            "fax_number": "812-232-7768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "557 W BROADWAY ST",
            "city": "SHELBURN",
            "state": "IN",
            "postal_code": "478791232",
            "telephone_number": "812-232-8716",
            "fax_number": "812-232-7768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNAL MEDICINE NEPHROLOGY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-16",
        "last_updated": "2007-11-01",
        "status": "A",
        "authorized_official_last_name": "DHAR",
        "authorized_official_first_name": "SISIR",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-232-8716",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Nephrology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Courtney Megan Butkiewicz, DT
• Kathy J Hugar, FNP
• Divyesh Purohit, MD
• Sullivan County Internal Medicine LLC
• Terre Haute Pulmonary & Pediatric Clinic, LLC (Shelburn Medical Clinic)
• Union Associated Physicians Clinic, LLC
• Shanna Lynn White

• Nephrology Physician in Shelburn, IN
• Providers in Shelburn, IN by specialty
• Nephrology Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 1, 2007; 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.