| NPI | 1023247079 |
|---|---|
| Doing Business As | VALLEY KIDNEY CLINIC INC |
| Entity Type | Organization |
| Authorized Contact | MALLAREDDY MADDULA Md 209-546-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CA A108120) |
| Enumeration Date | 2009-07-13 |
| Last Update Date | 2015-06-19 |