Organization
KIDNEY AND HYPERTENSION CENTER OF WABASH VALLEY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMAR GAURAV MD (VICE PRESIDENT)
(812) 244-9104
Entity
Organization
Contact information
Practice address
1801 N 6TH ST, SUITE # 200, TERRE HAUTE, IN 47804-4086
(812) 238-4708
Mailing address
1801 N 6TH ST, SUITE # 200, TERRE HAUTE, IN 47804-4086
(812) 238-4708
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
01067346A
IN
Other
Enumeration date
05/27/2013
Last updated
04/24/2014
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