OrganizationActive
Advanced Kidney Specialists, P.C.
NPI 1275602765 · Specialist · Jackson, TN
Provider details
- NPI number
- 1275602765
- Entity type
- Organization
- Primary specialty
- SpecialistOther Service Providers
- Organization subpart
- No
- Authorized official
- Shyamal Sarkar, President(731) 984-8390
- License
- 29600 (TN)
Specialties & taxonomies
Other Service Providers
Practice location
170 Murray Guard Dr
Jackson, TN 38305-3609
Phone: (731) 984-8390
Fax: (731) 984-8392
Approximate (ZIP-level) locationGet directions
Mailing address
170 Murray Guard Dr
Jackson, TN 38305-3609
Registry dates
- Enumerated
- 2006-11-07
- Last updated
- 2024-02-05
- Certified
- 2024-02-05
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.