Organization
SAN JUAN REGIONAL KIDNEY CARE,LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MANISH PANDYA (PROVIDER)
(505) 278-8575
Entity
Organization
Contact information
Practice address
735 W ANIMAS ST STE B, FARMINGTON, NM 87401-5616
(505) 278-8575
(505) 787-2399
Mailing address
735 W ANIMAS ST STE B, FARMINGTON, NM 87401-5616
(505) 278-8575
(505) 787-2399
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
02/28/2022
Last updated
03/08/2022
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