PENNYRILE NEPHROLOGY ASSOCIATES PSC NPI 1386068112

NPI Information

  • NPI: 1386068112
  • Provider Name: PENNYRILE NEPHROLOGY ASSOCIATES, PSC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • CLIA Number: 44D2199768
  • Address: 1020 WATERFALL CT
    MADISONVILLE, KY
    ZIP 42431
  • Phone: (270) 821-5726

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NPI Details

PENNYRILE NEPHROLOGY ASSOCIATES, PSC is a nephrology internal medicine in Madisonville, KY. The provider is an internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. PENNYRILE NEPHROLOGY ASSOCIATES, PSC NPI is 1386068112. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1020 WATERFALL CT
MADISONVILLE, KY
ZIP 42431-079
Phone: (270) 821-5726
Fax: (270) 326-2090

The provider's authorized official is Imran Dosani .
The authorized official title is President and has the following contact phone number (270) 821-5726.

The CLIA number assigned to this NPI record is 44D2199768 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/14/2014 and was last updated on 7/21/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialistKENTUCKYNo
2363L00000XNurse PractitionerNo
3207RN0300XInternal MedicineNephrologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
17100284170MEDICAIDKENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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