Organization
COLONIAL KIDNEYCARE SPECIALISTS, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SATISH K BANKURU M.D. (PRESIDENT)
(804) 504-0068
Entity
Organization
Contact information
Practice address
3601 BOULEVARD, SUITE C, COLONIAL HEIGHTS, VA 23834-1338
(804) 504-0068
(804) 504-0080
Mailing address
3601 BOULEVARD, SUITE C, COLONIAL HEIGHTS, VA 23834-1338
(804) 504-0068
(804) 504-0080
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
0101236668
VA
Other
Enumeration date
03/13/2015
Last updated
03/13/2015
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