Dialysis Specialists of Marion, INC

NPI #1174817829 in Marion, Ohio

Provider Information

NPI Number: 1174817829
Entity Type: Organization
Organization Name: Dialysis Specialists of Marion, INC
Primary Specialty: Clinic/Center - End-Stage Renal Disease (ESRD) Treatment
Enumeration Date: May 30, 2011
Last Updated: May 30, 2011

Practice Location

Address: 125 EXECUTIVE DR
City: Marion
State: Ohio
ZIP Code: 43302-6285
Phone: (740) 401-0880

Authorized Official

Name: DR. SUBBARAYUDU KOPPERA, MD
Title: PRESIDENT/OWNER
Phone: (614) 371-5580

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - End-Stage Renal Disease (ESRD) Treatment — End-Stage Renal Disease (ESRD) Treatment	261QE0700X	Primary

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