Organization
SIERRA VIEW NEPHROLOGY, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIRUPAMA VEMURI MD (OWNER)
(559) 784-4925
Entity
Organization
Contact information
Practice address
557 W MORTON AVE, SUITE A, PORTERVILLE, CA 93257-3333
(559) 784-4925
(559) 784-4966
Mailing address
557 W MORTON AVE, SUITE A, PORTERVILLE, CA 93257-3333
(559) 784-4925
(559) 784-4966
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
C52775
CA
207RN0300X
Nephrology Physician
Primary
C52775
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00C527750
—
CA
01
—
ZZZ50981Z
BLUE SHIELD PIN
CA
Enumeration date
05/10/2007
Last updated
09/11/2012
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