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Organization
UPPER VALLEY KIDNEY CLINIC
Active
Organization
UPPER VALLEY KIDNEY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NAVEED UL HAQ M.D. (SOLE PROPRIETER)
(937) 335-9633
Entity
Organization
Contact information
Practice address
1266 N BROAD ST, FAIRBORN, OH 45324-5549
(937) 879-0433
(937) 879-0589
Mailing address
3130 N DIXIE HWY, STE 101, TROY, OH 45373-1337
(937) 335-9633
(937) 335-9464
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35080974
OH
Other
Enumeration date
07/01/2009
Last updated
07/01/2009
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