Organization
CENTER FOR KIDNEY DISEASE AND HYPERTENSION, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MOHAMED FADL ELNOUR M.D. (OWNER)
(717) 737-3377
Entity
Organization
Contact information
Practice address
425 N 21ST ST, SUITE 204, CAMP HILL, PA 17011-2223
(717) 737-3377
(717) 737-3387
Mailing address
425 N 21ST ST, SUITE 204, CAMP HILL, PA 17011-2223
(717) 737-3377
(717) 737-3387
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MD045806L
PA
Other
Enumeration date
12/14/2006
Last updated
08/22/2020
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