Eastern Pa Nephrology Assoc P.C.

LBN: Eastern Pa Nephrology Assoc P.C.
Eastern Pa Nephrology Assoc P.C. is an health care organization with primary practice located at 1230 S Cedar Crest Blvd Suite 301, Allentown PA 18103-6212. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as the primary health care specialty. Eastern Pa Nephrology Assoc P.C. can be contacted via phone (610) 432-4529, or through Bollu, Ravindra via phone (610) 432-4529.

Contact Information

Primary practice address
1230 S Cedar Crest Blvd Suite 301 Allentown PA 18103-6212
Phone: (610) 432-4529
Fax: (610) 432-2206
Website:
Map and Directions
Authorized official contact:
Name: Bollu, Ravindra Doctor of Medicine (MD)
Phone: (610) 432-4529

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X

Profile Details

NPI number 1073582714
LBN Legal business name Eastern Pa Nephrology Assoc P.C.
DBA Doing business as
Authorized official Bollu, Ravindra Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 15th, 2006
Last updated Oct 6th, 2010 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1073582714 NPPES
Other CB0122 RR MEDICARE
MEDICAID 1003633 RR MEDICARE

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