| NPI | 1922038090 |
|---|---|
| Other Name | DIALYSIS SPECIALISTS OF COSHOCTON, INC |
| Entity Type | Organization |
| Authorized Contact | SUBBARAYUDU KOPPERA President/Owner 740-622-6474 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QE0700X Clinic/Center, End-Stage Renal Disease (ESRD) Treatment (Licence: OH 383) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2011-10-17 |