Organization
RENAL CONSULTANT'S, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARUP MAITRA M.D. (PRESIDENT)
(330) 454-9126
Entity
Organization
Contact information
Practice address
2600 TUSCARAWAS ST W, CANTON, OH 44708-4644
(330) 454-9126
(330) 454-9470
Mailing address
2600 TUSCARAWAS ST W, SUITE 160, CANTON, OH 44708-4644
(330) 454-9126
(330) 454-9470
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2185559
—
OH
01
—
CL2108
RAILROAD MEDICARE
—
Enumeration date
06/11/2006
Last updated
07/23/2013
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