Organization
HOME DIALYSIS OF SANTA FE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BIJU CHERIAN M.D. (MANAGING MEMBER)
(505) 264-8120
Entity
Organization
Contact information
Practice address
2904 RODEO PARK DR E STE 300A-1, SANTA FE, NM 87505-6305
(505) 467-8199
(505) 467-8519
Mailing address
PO BOX 22566, SANTA FE, NM 87502-2566
(505) 467-8199
(505) 467-8519
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/09/2016
Last updated
01/13/2023
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