# VALLEY KIDNEY ACCESS CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Valley Access Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1316361132
- **Authorized official:** RAVINDRA BOLLU MD (PRESIDENT)
- **Authorized official phone:** (610) 432-4529

## Contact information

- **Practice address:** 2014 CITY LINE RD, SUITE 101, BETHLEHEM, PA 18017-2159
- **Practice address phone:** (610) 264-5199
- **Practice address fax:** (610) 264-5198
- **Mailing address:** 1230 S CEDAR CREST BLVD, SUITE 301, ALLENTOWN, PA 18103-6367
- **Mailing address phone:** (610) 432-4529
- **Mailing address fax:** (610) 432-2206

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207RI0011X | Interventional Cardiology Physician | — | NULL | — |
| 207RI0011X | Interventional Cardiology Physician | — | — | — |
| 207RN0300X | Nephrology Physician | — | NULL | — |
| 207RN0300X | Nephrology Physician | — | — | — |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | NULL | Yes |
| 2085R0204X | Vascular & Interventional Radiology Physician | — | — | Yes |
| 2086S0129X | Vascular Surgery Physician | — | NULL | — |
| 2086S0129X | Vascular Surgery Physician | — | — | — |

## Other

- **Enumeration date:** 02/13/2014
- **Last updated:** 02/13/2014