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NPI Code Detail

MEDICARE: S W NEPHROLOGY SERVICES INC

MEDICARE: S W NEPHROLOGY SERVICES INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RN0300XNephrology PhysicianME73225FL

General Provider Information

NPI Number : 1134273410
Entity Type Code : Organization
Provider Name (Legal Business Name) : S W NEPHROLOGY SERVICES INC
Provider Business Mailing Address
First Line : 22655 BAYSHORE RD
Second Line : STE 110
City : PORT CHARLOTTE
State : FL
Zip : 33980-2003
Country : US
Telephone Number : 941-629-7092
Fax Number :
Provider Business Practice Location Address
First Line : 22655 BAYSHORE RD
Second Line : STE 110
City : PORT CHARLOTTE
State : FL
Zip : 33980-2003
Country : US
Telephone Number : 941-629-7092
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. KRISHNAMURTY VELAMAKANNI
Credential : MD
Telephone Number : 941-629-7092
Provider Enumeration Date : 01/23/2007
Last Update Date : 08/25/2008

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Directions to “S W NEPHROLOGY SERVICES INC ” Practice Location

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