Southside Kidney Specialists
NPI #1033130026 in Petersburg, Virginia
Provider Information
- NPI Number
- 1033130026
- Entity Type
- Organization
- Organization Name
- Southside Kidney Specialists
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- Jul 22, 2006
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 3400 S CRATER RD
- Address 2
- SUITE B
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9211
- Phone
- (804) 733-6960
Authorized Official
- Name
- MR. VIJAYA LAKSHMI CHIRUMAMILLA, M.D.
- Title
- PRESIDENT
- Phone
- (804) 733-6960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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