Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Clinton, MD
NPI number
1386604932
Active
Practice location
9211 Stuart Ln Fl 4
Clinton, MD 20735-2712
Fax (301) 856-6623
Mailing address
5200 Virginia Way, L&c Dept
Brentwood, TN 37027-7569
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary | 261QE0700X | E2563 (MD) |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
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About NPI 1386604932
Dva Healthcare Renal Care Inc's National Provider Identifier is 1386604932, 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 Clinton, MD. The record was last updated on Feb 27, 2020.