COLONIAL KIDNEYCARE SPECIALISTS, PC
Osteopathic Medicine at Blvd, Colonial Heights, VA

License number
Virginia 0101236668
Category
Osteopathic Medicine
Type
Nephrology
Owner
Name: SATISH K BANKURU M.D.
Title: PRESIDENT
Phone: (804) 504-0068
Address
Address
3601 Boulevard SUITE C, Colonial Heights, VA 23834
National Provider ID: 1528451671
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Colonial Kidneycare Specialists, PC

3601 Blvd SUITE C, Colonial Heights, VA 23834

Registration:
Oct 17, 2013
State ID:
07702822
Business type:
Corporation
Agent:
M Bruce Stokes,8401 Patterson Ave STE 106, Richmond, VA 23229

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