Organization
GOVANI KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAULIK GOVANI MD (PHYSICIAN (SOLO MEMBER))
(734) 223-5593
Entity
Organization
Contact information
Practice address
15644 MADISON AVE STE 211, LAKEWOOD, OH 44107-5622
(734) 223-5593
(216) 521-5351
Mailing address
15644 MADISON AVE STE 211, LAKEWOOD, OH 44107-5622
(734) 223-5593
(216) 521-5351
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
35.134182
OH
Other
Enumeration date
06/19/2018
Last updated
06/19/2018
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