| NPI | 1568617082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUBARAYUDU KOPPERA President 614-371-5580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2008-11-25 |
| Last Update Date | 2008-12-03 |