Healthcare Provider Details

I. General information

NPI: 1952220022
Provider Name (Legal Business Name): ADVANCED KIDNEY CARE NC PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

804 ENGLISH RD STE 220
ROCKY MOUNT NC
27804-6032
US

IV. Provider business mailing address

PO BOX 7039
ROCKY MOUNT NC
27804-0039
US

V. Phone/Fax

Practice location:
  • Phone: 252-313-8025
  • Fax: 704-812-7667
Mailing address:
  • Phone: 252-313-8025
  • Fax: 704-812-7667

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: PULKIT GANDHI
Title or Position: AUTHORIZED OFFICIAL
Credential: MD
Phone: 252-313-8025