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SOUTHSIDE PHYSICIANS FOR WOMEN, LLC
NPI 1811193055
Obstetrics & Gynecology in Petersburg, VA

Active since June 25, 2007
510 S SYCAMORE ST, SUITE A & B, PETERSBURG, VA 23803(804) 862-3455(804) 862-1439 Get Directions Write a Review

NPPES record last updated: November 13, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southside Physicians For Women, Llc NPPES

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

SOUTHSIDE PHYSICIANS FOR WOMEN, LLC (NPI 1811193055) is a healthcare organization registered as an obstetrics & gynecology in Petersburg, Virginia and active in the NPI registry since June 2007. The organization lists Krishna Rao Kudaravalli, Owner, as its authorized official.

NPPES Registry Identity

NPI1811193055
Entity TypeOrganization
Primary Taxonomy207V00000X
Legal Business NameSOUTHSIDE PHYSICIANS FOR WOMEN, LLC
Location Address510 S SYCAMORE ST, SUITE A & BPetersburg, VA 23803-5044
Mailing Address510 S Sycamore St, Suite A & BPetersburg, VA 23803-5044 · (804) 862-3455 · Fax (804) 862-1439
Phone(804) 862-3455
Fax(804) 862-1439
Organization SubpartNo
Authorized OfficialKrishna Rao KudaravalliOwner · (804) 862-3455
Enumeration DateJune 25, 2007
Last NPPES UpdateNovember 13, 2007
✔ NPI 1811193055 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyObstetrics & GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207V00000X
Definition
An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women.
510 S SYCAMORE ST, Petersburg, VA 23803
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Other Identifiers 1

Medicare PINC08164VA

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 4

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

SOUTHSIDE SPECIALISTS FOR WOMEN, P.C.
Obstetrics & Gynecology
510 S SYCAMORE ST, SUITE D
PETERSBURG, VA 23803
Dinwiddie County (804) 861-1614
MRS. PANNALA VIJAY REDDY MD
Obstetrics & Gynecology
510 S SYCAMORE ST, STE D
PETERSBURG, VA 23803
Dinwiddie County (804) 861-6888
AUDREE BROWN LPC
Counselor (Mental Health)
510 S SYCAMORE ST, SUITE F
PETERSBURG, VA 23803
Dinwiddie County (804) 861-0700
JOHN PAUL FRETHEIM LCSW
Marriage & Family Therapist
510 S SYCAMORE ST, SUITE F
PETERSBURG, VA 23803
Dinwiddie County (804) 861-0700

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 Physicians For Women, LLC's NPI number?

The NPI number for Southside Physicians For Women, LLC is 1811193055. It was assigned to this organization in the NPPES registry on June 25, 2007.

Where is Southside Physicians For Women, LLC located?

Southside Physicians For Women, LLC is located at 510 S Sycamore St Suite A & B, Petersburg, VA 23803. The listed phone number is (804) 862-3455.

What is Southside Physicians For Women, LLC's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology with taxonomy code 207V00000X.

When was this NPI record last updated?

The NPPES record for Southside Physicians For Women, LLC was last updated on November 13, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.