Organization
SUBBARAYUDU KOPPERA MD, INC
Active
Parent organization
SUBBARAYUDU KOPPERA MD,INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUBBARAYUDU KOPPERA MD,INC
Authorized official
SUBBARAYUDU KOPPERA MD (OWNER)
(740) 622-6474
Entity
Organization
Contact information
Practice address
7594 OGDEN WOODS BLVD, NEW ALBANY, OH 43054-9635
(740) 644-6474
Mailing address
7594 OGDEN WOODS BLVD, NEW ALBANY, OH 43054-9635
(740) 644-6474
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
09/21/2007
Last updated
04/10/2012
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