institution
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. You can also correspond with Havanna Dialysis Llc through the mailing address at 5200 VIRGINIA WAY, BRENTWOOD, TN - 37027-7569 (mailing address contact number: 615-320-4214).

Location: 202 Perry Pkwy Ste 3, Gaithersburg, MD, 37027-7569
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
tick
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
State
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
State
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
License No.
(Maryland)
Definition
Definition to come...
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