Healthcare Provider Details

I. General information

NPI: 1003247461
Provider Name (Legal Business Name): OKI KIDNEY CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/10/2013
Last Update Date: 12/10/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4760 E GALBRAITH RD STE 217
CINCINNATI OH
45236-6703
US

IV. Provider business mailing address

493 CANVAS BACK CIR
CINCINNATI OH
45246-1534
US

V. Phone/Fax

Practice location:
  • Phone: 513-842-2000
  • Fax:
Mailing address:
  • Phone: 419-604-2967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: ARSHDEEP TINDNI
Title or Position: OWNER
Credential: MD
Phone: 419-604-2967