Organization
INDIANA DIALYSIS COMPANY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANIL KUMAR JAIN MD (CEO)
(317) 888-1100
Entity
Organization
Contact information
Practice address
701 E COUNTY LINE RD STE 210, GREENWOOD, IN 46143-1071
(317) 888-1100
Mailing address
701 E COUNTY LINE RD STE 210, GREENWOOD, IN 46143-1071
(317) 888-1100
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
01063444A
IN
Other
Enumeration date
12/04/2011
Last updated
08/11/2012
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