VALLEY KIDNEY SPECIALISTS PC NPI 1780122366

NPI Information

NPI: 1780122366
Provider Name: VALLEY KIDNEY SPECIALISTS, PC

Doing Business As: POTTSVILLE INTERNISTS & VALLEY KIDNEY SPECIALISTS

Classification: Internal Medicine - 207RN0300X
Entity Type: Organization

Specialization: Nephrology

Address:
693 PORT CARBON SAINT CLAIR HWY
POTTSVILLE, PA
ZIP 17901
Phone: (570) 429-1432
Get Directions

VALLEY KIDNEY SPECIALISTS, PC is a nephrology internal medicine in Pottsville, PA. 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. VALLEY KIDNEY SPECIALISTS, PC NPI is 1780122366. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Pottsville Internists & Valley Kidney Specialists.

The provider's business location address is:

693 PORT CARBON SAINT CLAIR HWY
POTTSVILLE, PA
ZIP 17901-604
Phone: (570) 429-1432
Fax: (570) 429-1019

The provider's authorized official is Ravindra Bollu .
The authorized official title is President and has the following contact phone number (610) 432-4529.

The enumeration date for this NPI number is 2/3/2017 and was last updated on 2/6/2017.

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	207RN0300X	Internal Medicine	Nephrology	MD021858E	PENNSYLVANIA	Yes
2	207RN0300X	Internal Medicine	Nephrology	MD044932E	PENNSYLVANIA	No

What is NPI?

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

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