Organization
MY KIDNEY CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANISH PANDYA MD (OWNER)
(505) 716-7887
Entity
Organization
Contact information
Practice address
301 S LAKE ST STE B, FARMINGTON, NM 87401-5603
(505) 278-8575
Mailing address
301 S LAKE ST STE B, FARMINGTON, NM 87401-5603
(505) 278-8575
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/04/2018
Last updated
09/04/2018
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