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Tidewater Kidney Specialists, Inc.
Nephrology Physician in Virginia Beach, Virginia
NPI 1780624627

Tidewater Kidney Specialists, Inc. is a Nephrology Physician based in Virginia Beach, VA and is specialized in Nephrology. Tidewater Kidney Specialists, Inc. practices in Virginia Beach, VA. The NPI Number for Tidewater Kidney Specialists, Inc. is 1780624627 and holds a License No. (Virginia).

The current practice location address for Tidewater Kidney Specialists, Inc. is 4445 Corporation Ln Ste 100, Virginia Beach, VA and can be reached out via phone at 757-623-0005 and via fax at 757-548-1129. You can also correspond with Tidewater Kidney Specialists, Inc. through the mailing address at 4445 CORPORATION LN STE 100, VIRGINIA BEACH, VA - 23462-3666 (mailing address contact number: 757-623-0005).

Location: 4445 Corporation Ln Ste 100, Virginia Beach, VA, 23462-3666
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1780624627
Provider Name
Tidewater Kidney Specialists, Inc.
Credential
Provider Entity Type
Organization
Address
4445 Corporation Ln Ste 100, Virginia Beach, VA, 23462-3666
Phone Number
757-623-0005
Fax Number
757-548-1129
Provider Enumeration Date
06/08/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
890129J 05 NC
institution
Provider Business Practice Location Address Details
Address
4445 Corporation Ln Ste 100
City
Virginia Beach
State
Virginia
Zip
23462-3666
Phone Number
757-623-0005
Fax Number
757-548-1129
person
Provider Business Mailing Address Details
Address
4445 Corporation Ln Ste 100
City
Virginia Beach
State
Virginia
Zip
23462-3666
Phone Number
757-623-0005
Fax Number
757-548-1129
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
(Virginia)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
person
Provider's Taxonomy Details 2
Type
Allopathic & Osteopathic Physicians
Classification
Internal Medicine
Speciality
Nephrology
Taxonomy
207RN0300X
License No.
(Virginia)
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.
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