Southside Kidney Specialists
NPI #1508201385 in Petersburg, Virginia
Provider Information
- NPI Number
- 1508201385
- Entity Type
- Organization
- Organization Name
- Southside Kidney Specialists
- Subpart
- Yes (part of a larger organization)
- Parent Organization
- SOUTHSIDE KIDNEY SPECIALISTS
- Primary Specialty
- Internal Medicine - Nephrology
- Enumeration Date
- May 7, 2013
- Last Updated
- May 7, 2013
Practice Location
- Address
- 3400 S CRATER RD
- Address 2
- STE #B
- City
- Petersburg
- State
- Virginia
- ZIP Code
- 23805-9252
- Phone
- (804) 733-6960
Authorized Official
- Name
- VIJAYA LAKSHMI CHIRUMAMILLA, MD
- Title
- OWNER
- Phone
- (804) 733-6960
Specialties & Taxonomy Codes
| Specialty |
|---|
| Internal Medicine - Nephrology — Nephrology |
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| Southside Kidney Specialists | AI Deep Dive |
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