Organization
RENVIVA DIALYSIS CENTER OF INDIANAPOLIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AKINYINKA AWOSIKA (MEMBER MANAGER)
(321) 710-0352
Entity
Organization
Contact information
Practice address
5550 S EAST ST STE A, INDIANAPOLIS, IN 46227-1991
(317) 734-3431
Mailing address
5550 S EAST ST STE A, INDIANAPOLIS, IN 46227-1991
(317) 734-3431
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/01/2024
Last updated
06/20/2024
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