Organization · Type 2 NPI
Dva Healthcare Renal Care Inc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Southgate, MI
NPI number
1497717607
Active
Practice location
14752 Northline Rd
Southgate, MI 48195-2698
Fax (734) 284-0124
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 | None listed |
End-Stage Renal Disease (ESRD) Treatment Clinic/Center: Definition to come...
4 other providers at this address
- Megha Mohey MD PCInternal Medicine Physician Southgate, MI NPI 1295329720
- Chilakapati Vijaya Kumar, MDNephrology Physician Southgate, MI NPI 1457352676
- Mary Louise Hasskamp-Howe, MSN-FNP-BCNurse Practitioner Southgate, MI NPI 1922327717
- Megha Mohey, MDInternal Medicine Physician Southgate, MI NPI 1154530277
About NPI 1497717607
Dva Healthcare Renal Care Inc's National Provider Identifier is 1497717607, issued on Apr 4, 2006. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Southgate, MI. The record was last updated on May 13, 2024.