Organization
MITTAL KIDNEY AND DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANJEEV KUMAR MITTAL MD (OWNER)
(901) 767-0101
Entity
Organization
Contact information
Practice address
300 S WALNUT BEND RD, STE 12, CORDOVA, TN 38018-7293
(901) 767-0101
(901) 767-0304
Mailing address
300 S WALNUT BEND RD, STE 12, CORDOVA, TN 38018-7293
(901) 767-0101
(901) 767-0304
Taxonomy
Speciality
Code
Description
License number
State
364SA2200X
Adult Health Clinical Nurse Specialist
Primary
21398
TN
Other
Enumeration date
08/08/2016
Last updated
08/08/2016
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