Organization
NEPHRONLIFE DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEEPAK CHANDRAMOHAN MD (COO)
(469) 797-7711
Entity
Organization
Contact information
Practice address
2120 PRAIRIE DR BLDG UNIT1201, PROSPER, TX 75078-3828
(469) 797-7711
(215) 491-5750
Mailing address
3001 S HARDIN BLVD STE 110-202, MCKINNEY, TX 75070-7736
(469) 797-7711
(214) 491-5750
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
—
—
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
12/02/2025
Last updated
01/12/2026
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