VALLEY KIDNEY SPECIALISTS PC NPI 1780122366

NPI Information

  • NPI: 1780122366
  • Provider Name: VALLEY KIDNEY SPECIALISTS, PC
  • Classification: Internal Medicine - 207RN0300X
  • Specialization: Nephrology
  • Entity Type: Organization
  • Doing Business As: POTTSVILLE INTERNISTS & VALLEY KIDNEY SPECIALISTS
  • Address: 693 PORT CARBON SAINT CLAIR HWY
    POTTSVILLE, PA
    ZIP 17901
  • Phone: (570) 429-1432

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NPI Details

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
1207RN0300XInternal MedicineNephrologyMD021858EPENNSYLVANIAYes
2207RN0300XInternal MedicineNephrologyMD044932EPENNSYLVANIANo

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This page was last updated on: 11/21/2025

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