SOUTHSIDE KIDNEY SPECIALISTS is a nephrology internal medicine in Petersburg, VA. The provider is 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. SOUTHSIDE KIDNEY SPECIALISTS NPI is 1033130026. The provider is registered as an organization entity type and is a single specialty group.
The provider's business location address is:
3400 S CRATER RD
SUITE B
PETERSBURG, VA
ZIP 23805-211
Phone: (804) 733-6960
Fax: (804) 733-3880
The provider's authorized official is Vijaya Lakshmi Chirumamilla .
The authorized official title is President and has the following contact phone number (804) 733-6960.
The CLIA number assigned to this NPI record is 49D1092769 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).
The enumeration date for this NPI number is 7/22/2006 and was last updated on 8/22/2020.