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Individual

DR. VIJAYA LAKSHMI CHIRUMAMILLA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
M.D.

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
0101044813
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
006034403
VA
Enumeration date
05/04/2006
Last updated
04/22/2020
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