Renal Consultant Pc

NPI 1164734596 - Internal Medicine - 207RN0300X

NPI Details
NPI 1164734596
Enumeration Date 07/14/2010
Last Updated 01/11/2011
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name GAMPALA H GAMPALA
Position PRESIDENT
Phone (248) 720-9226
Fax
Practice Location
3601 W 13 MILE RD
ROYAL OAK MI, 48073-6712, US
Phone (248) 720-9226
Fax
Business Location
PO BOX 251221
WEST BLOOMFIELD MI, 48325-1221, US
Phone (248) 720-9226
Fax
Toxanomy
Taxonomy Code 207RN0300X
License State Michigan
License Number GR088423
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According to our database, Renal Consultant Pc NPI is 1164734596, taxonomy code is 207RN0300X and license number is GR088423, license state is located at Michigan. Renal Consultant Pc physically located at 3601 W 13 Mile Rd, Royal Oak MI, 48073-6712. NPI Number 1033115704 has the healthcare provider type.

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1164734596 NPI number is provided on an as is basis without warranty of any kind. 1164734596 is maintained by the National Plan & Provider Enumeration System. The contents of Renal Consultant Pc are for informational purposes only.