Daytona Beach Nephrology LLC
NPI #1376193029 in Port Orange, Florida
Provider Information
- NPI Number
- 1376193029
- Entity Type
- Organization
- Organization Name
- Daytona Beach Nephrology LLC
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Sep 16, 2019
- Last Updated
- Aug 31, 2021
Practice Location
- Address
- 1728 DUNLAWTON AVE STE 4
- City
- Port Orange
- State
- Florida
- ZIP Code
- 32127-2923
- Phone
- (386) 304-8302
Authorized Official
- Name
- RAJDEEP SINGH GADH, MD
- Title
- OWNER
- Phone
- (386) 304-8302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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