THE KIDNEY CLINIC LLC


Address: 333 Dr Michael Debakey Dr, Suite 140, Lake Charles, LA 70601-5887
Phone: 3374947090

THE KIDNEY CLINIC LLC (NPI# 1760665129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1760665129
Entity Type Organization
Organization Name THE KIDNEY CLINIC LLC
Practice Address 333 Dr Michael Debakey Dr
Suite 140
Lake Charles
LA 70601-5887
Mailing Address Po Box 3230
Lake Charles
LA 70602-3230
Practice Telephone 3374947090
Practice Fax Number 3374947040
Mailing Telephone 3374947090
Mailing Fax Number 3374947040
Enumeration Date 2007-12-07
Last Update Date 2009-12-07
Authorized Official Name DR. ABDEL FARID ABU SHAMAT (MEMBER/PRESIDENT)
Authorized Official Telephone 3374947090
Authorized Official Credential M.D
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QH0100X Clinic/Center
Specialization: Health Service
MD11617R LA Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
LA 1679232 05

Office Location

Street Address 333 DR MICHAEL DEBAKEY DR
SUITE 140
City LAKE CHARLES
State LA
Zip Code 70601-5887

Providers in the same location

NPI Name Taxonomy Address Enumeration
1902807340 Roberta A Dowden Social Worker 333 Dr Michael Debakey Dr, Ste, 220, Lake Charles, LA 70601-5887 2005-08-09
1801262902 Erica Hessifer Psychiatry & Neurology 333 Dr Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5887 2015-08-12
1184972127 Imperial Health, LLP Family Medicine 333 Dr Michael Debakey Dr, Ste 110, Lake Charles, LA 70601-5889 2012-08-23
1790079465 Michelle Trahan Dyer Nurse Practitioner 333 Dr Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5888 2011-05-30
1982833851 Ahad Aftab Khan Lodhi Internal Medicine 333 Dr Michael Debakey Dr, Suite 140, Lake Charles, LA 70601-5889 2009-07-13
1639379837 Andres J Guillermo Family Medicine 333 Dr Michael Debakey Dr, Lake Charles, LA 70601-5887 2007-07-25
1942258363 Michelle D Nguyen Nurse Practitioner 333 Dr Michael Debakey Dr, Lake Charles, LA 70601 2006-05-05
1174583249 Michael L. Brown Psychiatry & Neurology 333 Dr Michael Debakey Dr, Suite 220, Lake Charles, LA 70601-5887 2006-03-24
1467434191 Jayendra K Patel Psychiatry & Neurology 333 Dr Michael Debakey Dr, Ste. 220, Lake Charles, LA 70601-5887 2005-11-17
1528053824 Abdel Farid Abu Shamat Internal Medicine 333 Dr Michael Debakey Dr, Suite 140, Lake Charles, LA 70601-5887 2005-09-13
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1144833872 Fresenius Medical Care Sulphur, LLC Clinic/Center 330 Chavanne Street, Lake Charles, LA 70601 2020-08-24
1174158844 Andrea Cormier Peer Specialist 751 E Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2020-03-03
1588297303 Vivian Claire Miller Monceaux Chiropractor 780 Bayou Pines East Drive, Lake Charles, LA 70601 2020-02-20
1568001014 Swla Center for Health Services Clinic/Center 3820 Senator J. Bennett Johnston Ave, Charleston Bldg 8, Lake Charles, LA 70601 2020-01-02
1417512070 Ryan Nathaniel Vaisler Student in an Organized Health Care Education/Training Program 1525 Oak Park Blvd., Lake Charles, LA 70601 2019-05-08
1336600675 Hoh Palliative Care, LLC Family Medicine 750 East Bayou Pines, Suite A, Lake Charles, LA 70601 2019-03-28
1073079026 Alawrass LLC Pharmacy 803 E Prien Lake Rd, Lake Charles, LA 70601 2019-02-14
1861962722 Ellaweena Woods Counselor 1409 Kirkman St., Lake Charles, LA 70601 2018-12-04
1770051963 Hanna Marie Rodriguez Counselor 751 Bayou Pines Drive, Suite C, Lake Charles, LA 70601 2018-11-06
1023585213 Shandora Druilhet Case Manager/Care Coordinator 751 E Bayou Pines, Lake Charles, LA 70601 2018-10-26
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Taxonomy Information

Taxonomy Code 261QH0100X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Health Service

Taxonomy Definition

Definition to come...
Notes: [7/1/2006: modified title]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1205137197 Applegate Recovery Lake Charles Clinic/Center 617 W Prien Lake Rd, Ste: L, Lake Charles, LA 70601-8386 2010-11-08
1659569119 Moss Bluff Chiropractic Clinic Clinic/Center 119 Tahoe Dr, Lake Charles, LA 70611-5109 2007-10-10
1154456507 Health Associates of Lake Charles Clinic/Center 2800 1st Ave Ste A, Lake Charles, LA 70601-8884 2007-02-23
1720008675 Minor Medical Clinic LLC Clinic/Center 109 Executive Dr., Suite C, Lake Charles, LA 70611-5328 2006-07-20

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871124859 Lafayette Wellness Group Clinic/Center 1042 Camellia Blvd Apt 3412, Lafayette, LA 70508-6692 2020-01-29
1033687439 Debra Vidrine, Health Care Services,llc Clinic/Center 1535 W Main St Ste 100, Ville Platte, LA 70586-2867 2018-11-05
1922591080 Aca Clinic Clinic/Center 23823 Eden St, Plaquemine, LA 70764-3315 2018-06-12
1841794989 West Wellness, LLC Clinic/Center 7941 Picardy Ave Ofc 2, Baton Rouge, LA 70809-3536 2018-03-22
1588195341 Ann M Waguespack Clinic/Center 9736 Kinglet Dr, Baton Rouge, LA 70809-4611 2017-03-23
1104297720 Southern Pediatric Clinic Clinic/Center 202 N Thomas Dr, Suite 1, Shreveport, LA 71107-6539 2015-10-08
1619355955 Heavenly Touch Personal Care Clinic/Center 235 Olive St, Shreveport, LA 71104-2415 2015-05-07
1396135331 Affinity Medical Center Clinic/Center 3143 N Roman St, New Orleans, LA 70117-6509 2015-01-29
1689081218 Mps Healthcare, LLC Clinic/Center 16416 Spanish Ct, Greenwell Springs, LA 70739-5936 2014-07-15
1578821948 Dyson & Dyson Inc. Clinic/Center 322 Messina St., Abbeville, LA 70510 2012-04-24
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Competitor

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City LAKE CHARLES
Zip Code 70601

Improve Information

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Dataset Information

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.

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