Organization
KIDNEY AND HYPERTENSION SPECIALISTS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REDDIVALEM VENKATA NAGESH MD (MANAGING PARTNER)
(517) 788-7866
Entity
Organization
Contact information
Practice address
900 E MICHIGAN AVE, STE 104, JACKSON, MI 49201-2457
(517) 788-7866
(517) 796-9339
Mailing address
900 E MICHIGAN AVE, STE 104, JACKSON, MI 49201-2457
(517) 788-7866
(517) 796-9339
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
RN042337
MI
Other
Enumeration date
03/21/2007
Last updated
07/27/2007
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