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BOWLING GREEN DIALYSIS CENTER INC NPI 1497740997


NPI Information

NPI: 1497740997
Provider Name: BOWLING GREEN DIALYSIS CENTER INC

Former Legal Business Name: RAJAN KARALAKULASINGAM BOWLING GREEN KIDNEY CENTER

Classification: Specialist - 174400000X
Entity Type: Organization
Address:
1834 LYDA AVE
BOWLING GREEN, KY
ZIP 42104
Phone: (270) 782-1318
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BOWLING GREEN DIALYSIS CENTER INC is a specialist in Bowling Green, KY. The provider is an individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. BOWLING GREEN DIALYSIS CENTER INC NPI is 1497740997. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Rajan Karalakulasingam Bowling Green Kidney Center.

The provider's business location address is:

1834 LYDA AVE
BOWLING GREEN, KY
ZIP 42104-361
Phone: (270) 782-1318
Fax: (270) 793-9558

The provider's authorized official is Rajanthan Karalakulasingam .
The authorized official title is President/director and has the following contact phone number (502) 458-6359.

The enumeration date for this NPI number is 9/12/2005 and was last updated on 10/20/2008.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1174400000XSpecialist300032KENTUCKYYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1610939927OTHERKENTUCKYALL OTHER
2182505MEDICARE ID-TYPE UNSPECIFIEDKENTUCKY
339090048MEDICAIDKENTUCKY
4182505MEDICARE OSCAR/CERTIFICATIONKENTUCKY
5000000054740OTHERKENTUCKYANTHEM

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: 4/28/2024

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