Provider Demographics
NPI:1154373314
Name:CENTRAL GEORGIA KIDNEY SPECIALISTS, PC
Entity type:Organization
Organization Name:CENTRAL GEORGIA KIDNEY SPECIALISTS, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MUHAMMAD
Authorized Official - Middle Name:SOHAIL
Authorized Official - Last Name:AKBAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:478-745-4322
Mailing Address - Street 1:890 2ND ST
Mailing Address - Street 2:SUITE 201
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31201-6863
Mailing Address - Country:US
Mailing Address - Phone:478-745-4322
Mailing Address - Fax:478-750-8789
Practice Address - Street 1:890 2ND ST
Practice Address - Street 2:SUITE 201
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31201-6863
Practice Address - Country:US
Practice Address - Phone:478-745-4322
Practice Address - Fax:478-750-8789
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2020-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA000867325IMedicaid
GA000884606XMedicaid
GA180599206MMedicaid
GA770845851AMedicaid
GA770845851CMedicaid
GA000183598ANMedicaid
GA000867325WMedicaid
GA000884606ABMedicaid
GA000884606DMedicaid
GA000884606KMedicaid
GA000884606MMedicaid
GA000884606YMedicaid
GA288034431BMedicaid
GA000867325SMedicaid
GA000867325VMedicaid
GA000884606WMedicaid
GA288034431AMedicaid
GA288034431DMedicaid
GA288034431EMedicaid
GA000183598AEMedicaid
GA000867325JMedicaid
GA000867325XMedicaid
GA288034431CMedicaid
GA000183598AIMedicaid
GA000183598AKMedicaid
GA000183598ALMedicaid
GA000867325LMedicaid
GA000884606ACMedicaid
GA000884606GMedicaid
GA770845851DMedicaid
GA000183598AFMedicaid
GA000183598AGMedicaid
GA000884606LMedicaid
GA190642915AMedicaid
GA000183598AHMedicaid
GA000183598AJMedicaid
GA000183598AMMedicaid
GA000867325KMedicaid
GA000867325UMedicaid
GA000867325GMedicaid
GA000884606EMedicaid
GA000884606VMedicaid
GA288034431FMedicaid
GA000867325HMedicaid
GA000884606PMedicaid
GA000884606RMedicaid
GA190642915BMedicaid
GA770845851BMedicaid
GA770845851EMedicaid