Organization
KIDNEY INSTITUTE AT EMC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMBUR ERIAH CHANDRASHEKAR MD (ADMINISTRATOR)
(760) 837-9696
Entity
Organization
Contact information
Practice address
39000 BOB HOPE DR, STE. P-103, RANCHO MIRAGE, CA 92270
(760) 837-9696
(760) 837-9984
Mailing address
39000 BOB HOPE DR, STE. P-103, RANCHO MIRAGE, CA 92270
(760) 837-9696
(760) 837-9984
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDC02832F
—
CA
Enumeration date
10/26/2006
Last updated
04/26/2017
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