| NPI | 1780641951 |
|---|---|
| Doing Business As | SHOALS KIDNEY & HTN CENTER |
| Entity Type | Organization |
| Authorized Contact | NARASIMHA RAO BOORGU President 256-766-1401 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: AL 20061173) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: AL 20061174) |
| 207RN0300X Internal Medicine, Nephrology (Licence: AL 20061172) | |
| 363LF0000X Nurse Practitioner, Family | |
| 364SA2100X Clinical Nurse Specialist, Acute Care | |
| Enumeration Date | 2006-04-29 |
| Last Update Date | 2019-05-29 |