Organization · Type 2 NPI
Havanna Dialysis LLC
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Gaithersburg, MD
NPI number
1013433713
Active
Practice location
202 Perry Pkwy Ste 3
Gaithersburg, MD 20877-2172
Fax (301) 947-6115
Mailing address
5200 Virginia Way, L&c Department
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
About NPI 1013433713
Havanna Dialysis LLC's National Provider Identifier is 1013433713, issued on Aug 15, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Gaithersburg, MD. The record was last updated on Nov 17, 2025.