Organization
MITTAL KIDNEY AND DIALYSIS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANJEEV MITTAL MD (PRESIDENT)
(901) 767-0101
Entity
Organization
Contact information
Practice address
300 S WALNUT BEND RD STE 12, CORDOVA, TN 38018
(901) 767-0101
(901) 767-0304
Mailing address
300 S WALNUT BEND RD STE 12, CORDOVA, TN 38018
(901) 767-0101
(901) 767-0304
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
32232
—
Other
Enumeration date
08/31/2006
Last updated
09/11/2018
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