Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Coastal Kidney Center PA

Organization Nephrology Physician · NPI 1801961537

Coastal Kidney Center PA is a Nephrology Physician in Conway, South Carolina. Licensed in South Carolina. Registered with an NPI since 2006.

Licensed in
SC
In the registry since
2006
Specialties on file
3
What do these letters mean?
PA — Professional association
A form of business registration, not a clinical qualification.

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Practice location Address checks out

847 Farrar Dr
Conway, SC 29526
Phone: (843) 347-9487
Fax: (843) 347-9574
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X · Licence 17448 (SC)
Nephrology Physician Taxonomy 207RN0300X · Licence 22373 (SC)
Nephrology Physician Taxonomy 207RN0300X · Licence 985 (SC)

Record details

NPI number1801961537
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Sivanthan Balachandran — President · (843) 347-9487
NPI enumeratedNovember 21, 2006
Last updated in NPPESSeptember 25, 2024
Certification dateSeptember 19, 2024
Mailing address847 Farrar Drive, Conway, SC 29526

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