Organization
DIALYSIS SPECIALISTS OF COSHOCTON, INC.
Active
Other names
Dialysis Specialists of Coshocton, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
SUBBARAYUDU KOPPERA MD (PRESIDENT/OWNER)
(740) 622-6474
Entity
Organization
Contact information
Practice address
235 KENWOOD DR, COSHOCTON, OH 43812-1997
(740) 622-6474
(740) 622-6476
Mailing address
235 KENWOOD DR, COSHOCTON, OH 43812-1997
(740) 622-6474
(740) 622-6476
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
383
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2075178
—
OH
Enumeration date
07/04/2006
Last updated
10/17/2011
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