NPI 1013064690

Idaho Kidney Institute LLP

Organisation Nephrology Physician Chubbuck, ID

Practice location

Address: 4511 Zebe Ave, Chubbuck, ID 83202-4707
Phone: (208) 904-4780
Fax: (208) 904-4832
Mailing address: PO Box 268934, Oklahoma City, OK 73126-8934

Authorised official

Name: Fahim Rahim
Title: President
Phone: (208) 904-4780

Registered specialties

Nephrology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207RN0300X

Other Internal Medicine providers in Idaho →

Registry record

NPI: 1013064690
Entity type: Organization
NPI issued: 4 Jan 2007
Record last updated: 8 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.