Organization
BLAIR NEPHROLOGY ASSOC INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KUMBALATARA A SIRIPALA MD (PRESIDENT)
(814) 949-3500
Entity
Organization
Contact information
Practice address
312 CHESTNUT AVE, ALTOONA, PA 16601-4911
(814) 946-3500
(814) 946-5067
Mailing address
312 CHESTNUT AVE, ALTOONA, PA 16601-4911
(814) 946-3500
(814) 946-5067
Taxonomy
Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015793700005
—
PA
Enumeration date
08/08/2006
Last updated
04/03/2012
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