Organization
AT HOME DIALYSIS CORP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEEPAK MITTAL MD (MD)
(859) 757-4353
Entity
Organization
Contact information
Practice address
330 ROLAND AVE, OWENTON, KY 40359-1502
(859) 757-4353
Mailing address
105 RIDGEPOINTE DR, COLD SPRING, KY 41076-9091
(859) 360-2426
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
KY
Other
Enumeration date
05/26/2015
Last updated
06/29/2015
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