| NPI | 1174817829 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBBARAYUDU KOPPERA President/Owner 614-371-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2011-05-30 |
| Last Update Date | 2011-05-30 |