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NPI Code Detail

MEDICARE: SOHUM HOUSTON DIALYSIS LLC

MEDICARE: SOHUM HOUSTON DIALYSIS LLC
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
1261QE0700XEnd-Stage Renal Disease (ESRD) Treatment Clinic/Center

General Provider Information

NPI Number : 1023334133
Entity Type Code : Organization
Provider Name (Legal Business Name) : SOHUM HOUSTON DIALYSIS LLC
Provider Business Mailing Address
First Line : 8800 BISSONNET ST STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2435
Country : US
Telephone Number : 713-773-1717
Fax Number : 713-773-1716
Provider Business Practice Location Address
First Line : 8800 BISSONNET ST STE A
Second Line :
City : HOUSTON
State : TX
Zip : 77074-2435
Country : US
Telephone Number : 713-773-1717
Fax Number : 713-773-1716
Authorized Official
Title or Position : PRESIDENT
Name : MR. SUNNY KOTAK
Credential :
Telephone Number : 713-490-7382
Provider Enumeration Date : 04/14/2010
Last Update Date : 04/14/2010

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Directions to “SOHUM HOUSTON DIALYSIS LLC ” Practice Location

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