Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Southside Kidney Specialists

Organization Nephrology Physician · NPI 1508201385

Southside Kidney Specialists is a Nephrology Physician in Petersburg, Virginia. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

3400 S Crater Rd Ste #B
Petersburg, VA 23805-9252
Phone: (804) 733-6960
Fax: (804) 733-3880
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Nephrology Physician (primary) Taxonomy 207RN0300X

Record details

NPI number1508201385
Entity typeOrganization (Type 2)
Organization subpartYes
Parent organizationSouthside Kidney Specialists
Authorized official Vijaya Chirumamilla — Owner · (804) 733-6960
NPI enumeratedMay 7, 2013
Last updated in NPPESMay 7, 2013
Mailing address201 E. Ferrell St, South Hill, VA 23970-2202

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