Provider Demographics
NPI:1548690571
Name:SLOAN KIDNEY SERVICES LLC
Entity type:Organization
Organization Name:SLOAN KIDNEY SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:AMMAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ALMEHMI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-444-6823
Mailing Address - Street 1:104 LOWES BLVD
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-3132
Mailing Address - Country:US
Mailing Address - Phone:256-543-3508
Mailing Address - Fax:256-543-3506
Practice Address - Street 1:104 LOWES BLVD
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-3132
Practice Address - Country:US
Practice Address - Phone:256-543-3508
Practice Address - Fax:256-543-3506
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-12
Last Update Date:2013-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL32484207RN0300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
I12478Medicare UPIN