OrganizationActive
Idaho Kidney Institute LLP
NPI 1013064690 · Nephrology Physician · Chubbuck, ID
Provider details
- NPI number
- 1013064690
- Entity type
- Organization
- Primary specialty
- Nephrology PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Fahim Rahim, President(208) 904-4780
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
4511 Zebe Ave
Chubbuck, ID 83202-4707
Phone: (208) 904-4780
Fax: (208) 904-4832
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 268934
Oklahoma City, OK 73126-8934
Registry dates
- Enumerated
- 2007-01-04
- Last updated
- 2021-04-08
- Certified
- 2021-04-08
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.