Organization
NEPHROLOGY ASSOC OF SW OHIO INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PIUS MANAVALAN MD (PRESIDENT)
(513) 863-8212
Entity
Organization
Contact information
Practice address
3090 MCBRIDE COURT, SUITE B, HAMILTON, OH 45011-0812
(513) 863-8212
(513) 863-8379
Mailing address
3090 MCBRIDE COURT, SUITE B, HAMILTON, OH 45011-0812
(513) 863-8212
(513) 863-8379
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2288215
—
OH
Enumeration date
02/13/2006
Last updated
11/21/2019
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