Organization
SOUTH WEST NEPHROLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KULBIR S PANNU MD (PARTNER OWNER)
(440) 237-7112
Entity
Organization
Contact information
Practice address
8523 RIDGE RD, NO ROYALTON, OH 44133-1856
(440) 237-7112
(440) 237-1406
Mailing address
8523 RIDGE RD, NO ROYALTON, OH 44133-1856
(440) 237-7112
(440) 237-1406
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2517155
—
OH
Enumeration date
09/11/2006
Last updated
08/22/2020
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