Organization
SOUTHSIDE KIDNEY SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. VIJAYA LAKSHMI CHIRUMAMILLA M.D. (PRESIDENT)
(804) 733-6960
Entity
Organization
Contact information
Practice address
3400 S CRATER RD, SUITE B, PETERSBURG, VA 23805-9211
(804) 733-6960
(804) 733-3880
Mailing address
3400 S CRATER RD, SUITE B, PETERSBURG, VA 23805-9211
(804) 733-6960
(804) 733-3880
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Enumeration date
07/22/2006
Last updated
08/22/2020
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