Organization
COACHELLA KIDNEY INSTITUTE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMBUR ERIAH CHANDRASHEKAR M.D. (ADMINISTRATOR)
(760) 347-8181
Entity
Organization
Contact information
Practice address
1413 SIXTH STREET, COACHELLA, CA 92236-1711
(760) 391-5300
(760) 391-5800
Mailing address
1413 SIXTH STREET, COACHELLA, CA 92236-1711
(760) 391-5300
(760) 391-5800
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
02/20/2014
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