1. Home
  2. Directory
  3. Virginia
  4. Petersburg
  5. Internal Medicine
  6. NPI Profile

SOUTHSIDE KIDNEY SPECIALISTS
NPI 1508201385
Internal Medicine - Nephrology in Petersburg, VA

Active since May 07, 2013
3400 S CRATER RD, STE #B, PETERSBURG, VA 23805(804) 733-6960(804) 733-3880 Get Directions Write a Review

NPPES record last updated: May 7, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Southside Kidney Specialists NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SOUTHSIDE KIDNEY SPECIALISTS (NPI 1508201385) is a healthcare organization registered as a nephrology in Petersburg, Virginia and active in the NPI registry since May 2013. The organization lists Vijaya Lakshmi Chirumamilla, Owner, as its authorized official.

NPPES Registry Identity

NPI1508201385
Entity TypeOrganization
Primary Taxonomy207RN0300X
Legal Business NameSOUTHSIDE KIDNEY SPECIALISTS
Location Address3400 S CRATER RD, STE #BPetersburg, VA 23805-9252
Mailing Address201 E. Ferrell StSouth Hill, VA 23970-2202 · (434) 447-3455 · Fax (434) 447-3405
Phone(804) 733-6960
Fax(804) 733-3880
Organization SubpartYes
Authorized OfficialVijaya Lakshmi ChirumamillaOwner · (804) 733-6960
Enumeration DateMay 7, 2013
✔ NPI 1508201385 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · NephrologyAllopathic & Osteopathic Physicians
Taxonomy Code207RN0300X
Definition
An internist who treats disorders of the kidney, high blood pressure, fluid and mineral balance and dialysis of body wastes when the kidneys do not function. This specialist consults with surgeons about kidney transplantation.
3400 S CRATER RD, Petersburg, VA 23805
Open in Google Maps ↗

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SOUTHSIDE KIDNEY SPECIALISTS
Internal Medicine (Nephrology)
3400 S CRATER RD, SUITE B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
DR. VIJAYA LAKSHMI CHIRUMAMILLA M.D.
Internal Medicine (Nephrology)
3400 S CRATER RD, SUITE B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
MRS. TAMMY FAYE PETERSON
Dietitian, Registered
3400 S CRATER RD, STE.B
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
DR. SUDHAKAR CHANDRAKUMAR RELTON MD
Internal Medicine (Nephrology)
3400 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 733-6960
LIBERTY DIALYSIS PETERSBURG, LLC
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
3400 S CRATER RD
PETERSBURG, VA 23805
Petersburg City (804) 732-8228

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Southside Kidney Specialists's NPI number?

The NPI number for Southside Kidney Specialists is 1508201385. It was assigned to this organization in the NPPES registry on May 7, 2013.

Where is Southside Kidney Specialists located?

Southside Kidney Specialists is located at 3400 S Crater Rd Ste #b, Petersburg, VA 23805. The listed phone number is (804) 733-6960.

What is Southside Kidney Specialists's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Nephrology, with taxonomy code 207RN0300X.

When was this NPI record last updated?

The NPPES record for Southside Kidney Specialists was last updated on May 7, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.