Organization
SOUTHERN OHIO NEPHROLOGY, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. REENA SAMUEL-VARIATH M.D. (PRESIDENT)
(740) 354-5393
Entity
Organization
Contact information
Practice address
1711 27TH ST, BRAUNLIN BLDG. (K) STE 301, PORTSMOUTH, OH 45662-2654
(740) 354-5393
(740) 353-9068
Mailing address
1711 27TH ST, BRAUNLIN BLDG. (K) STE 301, PORTSMOUTH, OH 45662-2654
(740) 354-5393
(740) 353-9068
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2222919
—
OH
Enumeration date
01/02/2007
Last updated
09/20/2011
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