Organization
KIDNEY AND HYPERTENSION CENTER OF IN, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHERIF ELASSAL MD (OWNER)
(812) 232-3900
Entity
Organization
Contact information
Practice address
700 S MAIN ST, CLINTON, IN 47842-2420
(812) 232-3900
(812) 232-3955
Mailing address
PO BOX 2879, INDIANAPOLIS, IN 46206-2879
(812) 232-3900
(812) 232-3955
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01052996A
IN
Other
Enumeration date
07/25/2007
Last updated
07/25/2007
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