DR. KORSHIE SELORME DUMOR M.D. NPI 1154640811

NPI Information

NPI: 1154640811
Provider Name: DR. KORSHIE SELORME DUMOR, M.D.
Classification: Internal Medicine - 207RN0300X
Entity Type: Individual

Specialization: Nephrology

PECOS Registration: Yes

Address:
1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA
ZIP 22903
Phone: (434) 924-1984
Get Directions

DR. Korshie Selorme Dumor, M.D. is a nephrology internal medicine in Charlottesville, VA with 22 years of experience. 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. DR. Korshie Selorme Dumor, M.D. NPI is 1154640811. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1300 JEFFERSON PARK AVE
CHARLOTTESVILLE, VA
ZIP 22903-363
Phone: (434) 924-1984
Fax: (434) 244-4502

The NPI 1154640811 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/20/2010 and was last updated on 8/4/2023.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RC0200X	Internal Medicine	Critical Care Medicine	2010020733	MISSOURI	No
2	207RN0300X	Internal Medicine	Nephrology	0101276675	VIRGINIA	Yes
3	207R00000X	Internal Medicine		2010020733	MISSOURI	No
4	207R00000X	Internal Medicine		0101276675	VIRGINIA	No
5	207RC0200X	Internal Medicine	Critical Care Medicine	0101276675	VIRGINIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	P00852007	OTHER		RAILROAD MEDICARE GROUP #CB9013
2	431560263	OTHER		TRICARE WEST
3	115464081	MEDICAID	MISSOURI

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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