Organization
AVI GEORGIA ALBANY DIALYSIS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. AMAN KHANUJA (OWNER)
(413) 800-9383
Entity
Organization
Contact information
Practice address
507 W 3RD AVE STE 6B, ALBANY, GA 31701-1946
(413) 800-9383
Mailing address
507 W 3RD AVE STE 6B, ALBANY, GA 31701-1946
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
05/04/2022
Last updated
05/04/2022
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