Organization
RENAL HYPERTENSION CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAVINDRANATH V. KANTAMNENI M.D. (OWNER/PRESIDENT)
33479326128
Entity
Organization
Contact information
Practice address
1540 E MAIN ST, DOTHAN, AL 36301-3012
(334) 793-2618
(334) 792-7353
Mailing address
1540 E MAIN ST, DOTHAN, AL 36301-3012
(334) 793-2618
(334) 792-7353
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
08/19/2006
Last updated
08/22/2020
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