Organization
HYPERTENSION NEPHROLOGY & INTERNAL MEDICINE GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MUTHIYALIAH BABU M.D. (ADMINISTRATOR)
(805) 349-0198
Entity
Organization
Contact information
Practice address
1401 E MAIN ST, SANTA MARIA, CA 93454-4801
(805) 349-0198
(805) 349-9004
Mailing address
1401 E MAIN ST, SANTA MARIA, CA 93454-4801
(805) 349-0198
(805) 349-9004
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A415330
—
CA
Enumeration date
07/07/2006
Last updated
12/02/2014
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