| Dr Sudhakar Chandrakumar Relton, MD | |
|
3400 S Crater Rd, Petersburg, VA 23805-9252 | |
| (804) 733-6960 | |
| (804) 733-3880 |
| Full Name | Dr Sudhakar Chandrakumar Relton |
|---|---|
| Gender | Male |
| Speciality | Internal Medicine - Nephrology |
| Location | 3400 S Crater Rd, Petersburg, Virginia |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710944434 | NPI | - | NPPES |
| 1710944434 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RN0300X | Internal Medicine - Nephrology | 0101042037 (Virginia) | Primary |
| Entity Name | Southside Kidney Specialists |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1033130026 PECOS PAC ID: 4284692880 Enrollment ID: O20041229000595 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Sudhakar Chandrakumar Relton, MD 3400 S Crater Rd, Petersburg, VA 23805-9252 Ph: (804) 733-6960 | Dr Sudhakar Chandrakumar Relton, MD 3400 S Crater Rd, Petersburg, VA 23805-9252 Ph: (804) 733-6960 |
Jawed Abubaker, MD Nephrology Medicare: Not Enrolled in Medicare Practice Location: 601 Old Wagner Rd Ste 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Dr. Clifton Allen Hawkes, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 50 Medical Park Blvd Ste A, Petersburg, VA 23805 Phone: 804-765-6766 Fax: 804-765-6771 | |
Tahir Allauddin, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Robert S Davis, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 601 Old Wagner Rd, Suite 101, Petersburg, VA 23805 Phone: 804-524-2260 Fax: 804-524-0096 | |
Dr. Anwar Kamal Abdullah, MD Nephrology Medicare: Medicare Enrolled Practice Location: 26317 West Washington Street, Central State Hospital, Petersburg, VA 23803 Phone: 804-524-6540 Fax: 804-524-4866 | |
Dr. Sakuntla Kondragunta, M.D. Nephrology Medicare: Accepting Medicare Assignments Practice Location: 200 Medical Park Blvd, Petersburg, VA 23805 Phone: 804-765-5991 Fax: 804-765-5809 | |
Dr. Vijaya Lakshmi Chirumamilla, M.D. Nephrology Medicare: Medicare Enrolled Practice Location: 3400 S Crater Rd, Suite B, Petersburg, VA 23805 Phone: 804-733-6960 Fax: 804-733-3880 |