Renal Hypertension Clinic Pc

LBN: Renal Hypertension Clinic Pc
Renal Hypertension Clinic Pc is an health care organization with primary practice located at 190 Westside Dr B, Douglas GA 31533-3533. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Renal Hypertension Clinic Pc can be contacted via phone (912) 384-7210, or through Sarma, Akkaraju V.S. via phone (912) 384-7210.

Contact Information

Primary practice address
190 Westside Dr B Douglas GA 31533-3533
Fax: (912) 384-5130
Website:
Authorized official contact:
Name: Sarma, Akkaraju V.S. Doctor of Medicine (MD)

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1790706455
LBN Legal business name Renal Hypertension Clinic Pc
DBA Doing business as
Authorized official Sarma, Akkaraju V.S. Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 21st, 2006
Last updated Jul 10th, 2007 - about 19 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790706455 NPPES
Georgia MEDICAID 00257463E
Georgia MEDICAID 00257463A

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