| Kidney Medical Associates Inc | |
|
4475 Regency Pl Suite 201 White Plains MD 20695-3072 | |
| (301) 638-7802 | |
| (301) 638-7805 |
| Full Name | Kidney Medical Associates Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 4475 Regency Pl, White Plains, Maryland |
| Authorized Official Name and Position | Melanie April Unger (CREDENTIALING REPRESENTATIVE) |
| Authorized Official Contact | 3016387802 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kidney Medical Associates Inc 4475 Regency Pl Suite 201 White Plains MD 20695-3072 Ph: (301) 638-7802 | Kidney Medical Associates Inc 4475 Regency Pl Suite 201 White Plains MD 20695-3072 Ph: (301) 638-7802 |
| NPI Number | 1295843217 |
|---|---|
| Provider Enumeration Date | 08/29/2006 |
| Last Update Date | 04/03/2014 |
| Medicare PECOS PAC ID | 4284636424 |
|---|---|
| Medicare Enrollment ID | O20070201000093 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295843217 | NPI | - | NPPES |
| 0452 | Other | MD | BLUE CHOICE |
| DF9122 | Other | MEDICARE RAILROAD | |
| 010336864 | Medicaid | VA | |
| 411242301 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Secondary |
| 207RN0300X | Internal Medicine - Nephrology | (* (Not Available)) | Primary |
| Provider Name | Ravinder K Sindhwani |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1134162167 PECOS PAC ID: 7911951686 Enrollment ID: I20050822000931 |
| Provider Name | Atul Katyal |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1245270735 PECOS PAC ID: 7416984919 Enrollment ID: I20050825000927 |
| Provider Name | Aditya Kadiyala |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1811131774 PECOS PAC ID: 3678746195 Enrollment ID: I20111123000192 |
| Provider Name | Amber R Okubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609330356 PECOS PAC ID: 5799026423 Enrollment ID: I20190410000744 |
| Provider Name | Mohammadali Anwar |
|---|---|
| Provider Type | Practitioner - Nephrology |
| Provider Identifiers | NPI Number: 1700269230 PECOS PAC ID: 8628492055 Enrollment ID: I20200720000134 |
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