| NPI | 1790401677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GUNDA JAHROMI Partner 657-500-8147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment |
| Enumeration Date | 2022-10-12 |
| Last Update Date | 2023-03-15 |