Organization · Type 2 NPI

Ogano Dialysis LLC

End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Chantilly, VA

NPI number 1790213593 Active

Practice location

14225 Sullyfield Cir Ste A
Chantilly, VA 20151-1688

Fax (703) 378-7692

Mailing address

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

Specialties and licenses

TaxonomyCodeLicense
End-Stage Renal Disease (ESRD) Treatment Clinic/Center Primary 261QE0700XNone listed

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

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About NPI 1790213593

Ogano Dialysis LLC's National Provider Identifier is 1790213593, issued on May 24, 2017. The primary taxonomy on file is End-Stage Renal Disease (ESRD) Treatment Clinic/Center (261QE0700X), and the practice location is in Chantilly, VA. The record was last updated on Jan 11, 2024.