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Ogano Dialysis Llc
End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Chantilly, Virginia
NPI 1790213593

Ogano Dialysis Llc is a End-Stage Renal Disease (ESRD) Treatment Clinic/Center based in Brentwood, VA and is specialized in End-Stage Renal Disease (ESRD) Treatment. Ogano Dialysis Llc practices in Chantilly, VA. The NPI Number for Ogano Dialysis Llc is 1790213593 and holds a License No. (Virginia).

The current practice location address for Ogano Dialysis Llc is 14225 Sullyfield Cir Ste A, Chantilly, VA and can be reached out via phone at 703-263-0215 and via fax at 703-378-7692.

Location: 14225 Sullyfield Cir Ste A, Chantilly, VA, 37027-7569
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790213593
Provider Name
Ogano Dialysis Llc
Credential
Provider Entity Type
Organization
Address
14225 Sullyfield Cir Ste A, Chantilly, VA, 37027-7569
Phone Number
703-263-0215
Fax Number
703-378-7692
Provider Enumeration Date
05/24/2017
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1790213593 05 VA
institution
Provider Business Practice Location Address Details
Address
14225 Sullyfield Cir Ste A
City
Chantilly
State
Virginia
Zip
20151-1688
Phone Number
703-263-0215
Fax Number
703-378-7692
person
Provider Business Mailing Address Details
Address
14225 Sullyfield Cir Ste A
City
Chantilly
State
Virginia
Zip
20151-1688
Phone Number
703-263-0215
Fax Number
703-378-7692
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.
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Definition
Definition to come...
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