Individual
SATISH KUMAR BANKURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3601 BOULVARD, SUITE C, COLONIAL HEIGHTS, VA 23834-1338
(804) 504-0068
(804) 504-0080
Mailing address
3601 BOULVARD, 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
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
010206391
—
VA
Enumeration date
05/11/2006
Last updated
06/24/2015
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