Organization · Type 2 NPI

Dva Healthcare of Maryland LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Frederick, MD

NPI number 1023078466 Active

Practice location

140 Thomas Johnson Dr, Ste 100
Frederick, MD 21702-4475

Call (301) 695-0900 Map

Fax (301) 695-2808

Mailing address

5200 Virginia Way, Att: L&c Dept
Brentwood, TN 37027-7569

Specialties and licenses

Taxonomy	Code	License
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary	261QE0700X	E2598 (MD)

End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...

6 other providers at this address

Politimi Mantzouranis DDS LLCGeneral Practice Dentistry Frederick, MD NPI 1700051943
Akanksha Gaur Joshi, DMDGeneral Practice Dentistry Frederick, MD NPI 1114370681
Kiran Samindla, MDNephrology Physician Frederick, MD NPI 1932300845
Politimi C. Mantzouranis, DDSGeneral Practice Dentistry Frederick, MD NPI 1285773531
Stephanie Susan Comer-Concordia, CRNPNurse Practitioner Frederick, MD NPI 1508847286
William Henry Johnson, MDNephrology Physician Frederick, MD NPI 1134118326

Other end-stage renal disease (esrd) treatment clinic/center providers in Frederick

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NPI record

NPI: 1023078466
Entity type: Organization (Type 2)
Issued: Mar 27, 2006
Last updated: Dec 5, 2024
Status: Active

Other names

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Frederick Dialysis · doing business as
Frederick Dialysis · doing business as

Authorized official

Samuel T Wey
VP, Licensure & Certification
(615) 341-6641

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1023078466

Dva Healthcare of Maryland LLC's National Provider Identifier is 1023078466, issued on Mar 27, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Frederick, MD. The record was last updated on Dec 5, 2024.