Organization
VALLEY KIDNEY SPECIALISTS, PC
Active
Other names
Pottsville Internists & Valley Kidney Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
RAVINDRA BOLLU M.D. (PRESIDENT)
(610) 432-4529
Entity
Organization
Contact information
Practice address
693 PORT CARBON SAINT CLAIR HWY, POTTSVILLE, PA 17901-8604
(570) 429-1432
(570) 429-1019
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
207RN0300X
Nephrology Physician
Primary
MD021858E
PA
207RN0300X
Nephrology Physician
MD044932E
PA
Other
Enumeration date
02/03/2017
Last updated
02/06/2017
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