Organization
DIALYSIS SPECIALISTS OF DELAWARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBARAYUDU KOPPERA M.D. (MEDICAL DIRECTOR)
(740) 362-9034
Entity
Organization
Contact information
Practice address
28 S FRANKLIN ST, DELAWARE, OH 43015-4304
(740) 362-9034
(740) 362-9251
Mailing address
28 S FRANKLIN ST, DELAWARE, OH 43015-4304
(740) 362-9034
(740) 362-9251
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
OH
Other
Enumeration date
01/11/2007
Last updated
12/02/2008
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