Organization
AUSTIN KIDNEY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RAEEDA GHEEWALA (MD)
(617) 538-2245
Entity
Organization
Contact information
Practice address
2005 PALO DURO RD, AUSTIN, TX 78757-3242
(617) 538-2245
Mailing address
2005 PALO DURO RD, AUSTIN, TX 78757-3242
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/10/2019
Last updated
09/10/2019
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