Organization
KIDNEY AND HYPERTENSION CENTER OF IN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIF ELASSAL MD (OWNER)
(812) 232-3900
Entity
Organization
Contact information
Practice address
2229 MARY SHERMAN DR, SULLIVAN, IN 47882-7633
(812) 232-3900
(812) 232-3955
Mailing address
3740 S 4TH ST, TERRE HAUTE, IN 47802-5507
(812) 232-3900
(812) 232-3955
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01052996
IN
Other
Enumeration date
01/17/2007
Last updated
08/22/2020
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