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Havanna Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Gaithersburg, Maryland
NPI 1013433713

Havanna Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, MD and is specialized in End-Stage Renal Disease (ESRD) Treatment. Havanna Dialysis Llc practices in Gaithersburg, MD. The NPI Number for Havanna Dialysis Llc is 1013433713 and holds a License No. (Maryland).

The current practice location address for Havanna Dialysis Llc is 202 Perry Pkwy Ste 3, Gaithersburg, MD and can be reached out via phone at 301-987-0912 and via fax at 301-947-6115.

Location: 202 Perry Pkwy Ste 3, Gaithersburg, MD, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1013433713
Provider Name
Havanna Dialysis Llc
Credential
Provider Entity Type
Organization
Address
202 Perry Pkwy Ste 3, Gaithersburg, MD, 37027-7569
Phone Number
301-987-0912
Fax Number
301-947-6115
Provider Enumeration Date
08/15/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
6600131 05 MD
institution
Provider Business Practice Location Address Details
Address
202 Perry Pkwy Ste 3
City
Gaithersburg
State
Maryland
Zip
20877-2172
Phone Number
301-987-0912
Fax Number
301-947-6115
person
Provider Business Mailing Address Details
Address
202 Perry Pkwy Ste 3
City
Gaithersburg
State
Maryland
Zip
20877-2172
Phone Number
301-987-0912
Fax Number
301-947-6115
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
End-Stage Renal Disease (ESRD) Treatment
Taxonomy
261QE0700X
License No.
(Maryland)
Definition
Definition to come...
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