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 provides Nephrology Physician services 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.

See every abbreviation used in this directory →

Practice location Address checks out

847 Farrar Dr
Conway, SC 29526
Phone: (843) 347-9487
Fax: (843) 347-9574
Show map & directions

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

Other providers in Conway