| NPI | 1780122366 |
|---|---|
| Doing Business As | POTTSVILLE INTERNISTS & VALLEY KIDNEY SPECIALISTS |
| Entity Type | Organization |
| Authorized Contact | RAVINDRA BOLLU President 610-432-4529 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD021858E) |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology (Licence: PA MD044932E) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-06 |