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Organization
HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES INC.
Active
Organization
HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES INC.
Active
Parent organization
HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
HIGH DESERT NEPHROLOGY MEDICAL ASSOCIATES INC.
Authorized official
MR. JAY E SHANKAR M.D. (CEO/MEDICAL DIRECTOR)
(760) 241-3306
Entity
Organization
Contact information
Practice address
11883 AMETHYST ROAD STE # 100, VICTORVILLE, CA 92392-9224
(760) 998-2060
(960) 998-2068
Mailing address
12675 HESPERIA ROAD, VICTORVILLE, CA 92395-9224
(960) 241-3306
(760) 241-6243
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
02/20/2019
Last updated
02/20/2019
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