Provider Demographics
NPI:1962570192
Name:NEPHROLOGY ASSOCIATES OF TOLEDO, INC.
Entity type:Organization
Organization Name:NEPHROLOGY ASSOCIATES OF TOLEDO, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BIKRAM
Authorized Official - Middle Name:SINGH
Authorized Official - Last Name:JOHAR
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:419-251-4647
Mailing Address - Street 1:2222 CHERRY ST
Mailing Address - Street 2:SUITE 1700
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43608-2673
Mailing Address - Country:US
Mailing Address - Phone:419-251-4647
Mailing Address - Fax:419-251-6527
Practice Address - Street 1:2222 CHERRY ST
Practice Address - Street 2:SUITE 1700
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43608-2673
Practice Address - Country:US
Practice Address - Phone:419-251-4647
Practice Address - Fax:419-251-6527
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-12-04
Last Update Date:2007-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35074174207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH5285572OtherAETNA
OH0372592Medicaid
OH9160143Medicare PIN
OHCM8126Medicare PIN
OH5285572OtherAETNA
OH9160142Medicare PIN