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Organization
OHIO VALLEY NEPHROLOGY ASSOCIATES PSC
Active
Organization
OHIO VALLEY NEPHROLOGY ASSOCIATES PSC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAHENDRA C MARU MD (PRESIDENT)
(270) 689-1919
Entity
Organization
Contact information
Practice address
1930 E PARRISH AVE, OWENSBORO, KY 42303-1443
(270) 689-1919
(270) 689-1990
Mailing address
1930 E PARRISH AVE, OWENSBORO, KY 42303-1443
(270) 689-1919
(270) 689-1990
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
NULL
174400000X
Specialist
Primary
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204443900
FEDERAL BLACK LUNG
KY
05
—
65941023
—
KY
01
—
CJ7612
MEDICARE RAILROAD
KY
Enumeration date
10/06/2006
Last updated
07/12/2017
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