Organization
DAYTONA BEACH NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAJDEEP SINGH GADH MD (OWNER)
(386) 304-8302
Entity
Organization
Contact information
Practice address
1728 DUNLAWTON AVE STE 4, PORT ORANGE, FL 32127-2923
(386) 304-8302
(386) 304-8204
Mailing address
1728 DUNLAWTON AVE STE 4, PORT ORANGE, FL 32127-2923
(386) 304-8302
(386) 304-8204
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
08/31/2021
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