Organization
NEPHROPHILES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHARNES SY CHIU MD (AUTHORIZED OFFICIAL)
(505) 216-3466
Entity
Organization
Contact information
Practice address
2904 RODEO PARK DR E, SUITE 300B, SANTA FE, NM 87505-6305
(505) 216-3466
(505) 216-3105
Mailing address
2904 RODEO PARK DR E, SUITE 300B, SANTA FE, NM 87505-6305
(505) 216-3466
(505) 216-3105
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
45039
—
NM
Enumeration date
08/20/2006
Last updated
02/22/2017
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