Southside Kidney Specialists

LBN: Southside Kidney Specialists
Southside Kidney Specialists is an health care organization with primary practice located at 3400 S Crater Rd Suite B, Petersburg VA 23805-9211. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Southside Kidney Specialists can be contacted via phone (804) 733-6960, or through Chirumamilla, Vijaya Lakshmi via phone (804) 733-6960.

Contact Information

Primary practice address
3400 S Crater Rd Suite B Petersburg VA 23805-9211
Phone: (804) 733-6960
Fax: (804) 733-3880
Website:
Map and Directions
Authorized official contact:
Name: Chirumamilla, Vijaya Lakshmi Doctor of Medicine (MD)
Phone: (804) 733-6960

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1033130026
LBN Legal business name Southside Kidney Specialists
DBA Doing business as
Authorized official Chirumamilla, Vijaya Lakshmi Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Jul 22nd, 2006
Last updated Aug 22nd, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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