| NPI | 1558087726 |
|---|---|
| Doing Business As | EASTSIDE NEPHROLOGY |
| Entity Type | Organization |
| Authorized Contact | SALMAN RASHEED MALLICK Owner 218-409-9098 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2022-12-06 |