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
—
—
207RN0300X
Nephrology Physician
—
—
2085R0204X
Vascular & Interventional Radiology Physician
Primary
—
—
2086S0129X
Vascular Surgery Physician
—
—
Other
Enumeration date
02/13/2014
Last updated
02/13/2014
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