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Organization
VALLEY KIDNEY ACCESS CENTER, LLC
Active
Organization
VALLEY KIDNEY ACCESS CENTER, LLC
Active
Other names
Valley Access Center
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRA BOLLU MD (PRESIDENT)
(610) 432-4529
Entity
Organization
Contact information
Practice address
2014 CITY LINE RD, SUITE 101, BETHLEHEM, PA 18017-2159
(610) 264-5199
(610) 264-5198
Mailing address
1230 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103-6367
(610) 432-4529
(610) 432-2206
Taxonomy
Speciality
Code
Description
License number
State
207RI0011X
Interventional Cardiology Physician
—
NULL
207RI0011X
Interventional Cardiology Physician
—
—
207RN0300X
Nephrology Physician
—
NULL
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
NULL
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
NULL
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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