MITTAL KIDNEY AND DIALYSIS (NPI# 1750835724) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750835724 |
| Entity Type | Organization |
| Organization Name | MITTAL KIDNEY AND DIALYSIS |
| Practice Address |
300 S Walnut Bend Rd Ste 12 Cordova TN 38018-7293 |
| Practice Telephone | 9017670101 |
| Practice Fax Number | 9017670304 |
| Mailing Telephone | 9017670101 |
| Mailing Fax Number | 9017670304 |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |
| Authorized Official Name | DR. SANJEEV KUMAR MITTAL (OWNER) |
| Authorized Official Telephone | 9017670101 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 364SA2200X |
Clinical Nurse Specialist Specialization: Adult Health |
21398 | TN | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
300 S WALNUT BEND RD STE 12 |
| City | CORDOVA |
| State | TN |
| Zip Code | 38018-7293 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386778199 | Arijit Chakravarty | Internal Medicine | 300 S Walnut Bend Rd, Ste 12, Cordova, TN 38018-7527 | 2007-03-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588264428 | Shaquia Janai Harris | Behavior Technician | 1079 N Houston Levee Road, Cordova, TN 38018 | 2020-10-29 |
| 1366041493 | Cynthia Brantley | Behavior Technician | 1079 N Houston Levee Rd, Cordova, TN 38018 | 2020-10-20 |
| 1558901736 | At Home Physical Rehabilitation Group, LLC | Physical Therapy Assistant | 856 Willow Tree Circle, Cordova, TN 38018 | 2020-01-15 |
| 1538703038 | Scott Eric Balogh | Psychiatry & Neurology | 65 Germantown Court, Suite 203, Cordova, TN 38018 | 2019-10-29 |
| 1851871305 | Joanna H Fussell | Behavioral Analyst | 8066 Walnut Run Suite 102, Cordova, TN 38018 | 2018-08-15 |
| 1841736097 | A Guardian Care Group | Home Health | 10164 Green Moss, Cordova, TN 38018 | 2017-01-12 |
| 1497127146 | Functional Independence, Inc. | Home Health | 270 German Oak Dr., Memphis, TN 38018 | 2015-10-21 |
| 1679984363 | Tiffany Masters Redfern | Obstetrics & Gynecology | 521 Riveredge Dr W, Cordova, TN 38018 | 2014-05-15 |
| 1295073427 | Mitchell Wyman Alvarez | Optometrist | 2075 N. Germantown Pkwy, Memphis, TN 38018 | 2013-01-23 |
| 1578827531 | Chiung Feng Hsu | Dentist | 831 Timber Creek Dr #1, Cordova, TN 38018 | 2012-06-25 |
| Find all providers in zip 38018 | ||||
| Taxonomy Code | 364SA2200X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Clinical Nurse Specialist |
| Specialization | Adult Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639719867 | Linda S, Dial | Clinical Nurse Specialist | 1301 Medical Center Drive Tvc, Nashville, TN 37232-0001 | 2020-01-15 |
| 1053897728 | Teresa Duncan Webb | Clinical Nurse Specialist | 3045 Boogertown Rd, Sevierville, TN 37876-8860 | 2018-07-16 |
| 1356896377 | Shawn Green | Clinical Nurse Specialist | 5932 Woodlands Ave, Nashville, TN 37211-7536 | 2016-08-19 |
| 1780095109 | Mark Vann Fnp | Clinical Nurse Specialist | 115 N Woodland St, Manchester, TN 37355-1573 | 2014-05-20 |
| 1487083440 | Robin A Chappell | Clinical Nurse Specialist | 143 Old Hickory Blvd, South Fulton, TN 38257-2607 | 2013-11-10 |
| 1720325830 | Luisa Fernanda Leal | Clinical Nurse Specialist | 390 Harding Place Suite 102, Nashville, TN 37211-4770 | 2013-01-09 |
| 1144559899 | Nila Jean Lawson | Clinical Nurse Specialist | 200 Hudson, Memphis, TN 38152-0001 | 2009-12-09 |
| 1245394428 | Donna P. Sinclair | Clinical Nurse Specialist | 115 Clifty Village Ln, Paris, TN 38242-9177 | 2006-12-21 |
| 1013543354 | Tracy Maurice Abney | Clinical Nurse Specialist | 6236 Stage Rd, Bartlett, TN 38134-3726 | 2020-03-18 |
| 1376994657 | New Horizon Diabetes Clinic | Clinical Nurse Specialist | 390 Harding Pl, St 102, Nashville, TN 37211-3998 | 2016-06-28 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.