Southside Kidney Specialists in Petersburg - Nephrology
Southside Kidney Specialists - NPI 1033130026
Southside Kidney Specialists is a Nephrology in Petersburg, Virginia. Southside Kidney Specialists practices all healthcare services and medical treatments related to Nephrology. The NPI Number for Southside Kidney Specialists is 1033130026. The last update date is 2020-08-22.
Southside Kidney Specialists's current location address is 3400 S Crater Rd, Petersburg, Virginia. You can contact this provider via phone number 8047336960 and fax number 8047333880. The mailing address for Southside Kidney Specialists is 3400 S Crater Rd, Petersburg, Virginia. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southside Kidney Specialists |
|---|---|
| Address | 3400 S Crater Rd, Petersburg, Virginia |
| Phone Number | 8047336960 |
| Fax Number | 8047333880 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Chirumamilla Lakshmi Vijaya |
| Credentials | M.D. |
| Telephone Number | 8047336960 |
NPI Number Detail
| NPI Number | 1033130026 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3400 S Crater Rd |
|---|---|
| City | Petersburg |
| State | Virginia (VA) |
| Post Code | 238059211 |
| Phone Number | 8047336960 |
| Fax Number | 8047333880 |
Provider's Primary Taxonomy Detail
| Speciality | Nephrology |
|---|---|
| Taxonomy | 207Rn0300X |
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Definition: An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation. |
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What is the unique identifier code issued to Southside Kidney Specialists by the Centers for Medicare & Medicaid Services?
The Southside Kidney Specialists has been assigned the NPI (National Provider Identifier) 1033130026. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Southside Kidney Specialists is physically located?
The Southside Kidney Specialists is situated at the following address: 3400 S Crater Rd, Petersburg, VA 238059211.
What is Southside Kidney Specialists's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Southside Kidney Specialists is Nephrology, and the taxonomy code that categorizes this field of expertise is 207Rn0300X.
When did the Southside Kidney Specialists receive its 1033130026?
The Southside Kidney Specialists was issued its 1033130026 on 2006-07-22, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Southside Kidney Specialists last refreshed?
The information related to the Southside Kidney Specialists, including its address, specialty, and other relevant details, was last updated on 2020-08-22.
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