Provider Demographics
NPI:1710991773
Name:RICHMOND NEPHROLOGY ASSOCIATES, INC.
Entity Type:Organization
Organization Name:RICHMOND NEPHROLOGY ASSOCIATES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:CONDRO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:804-323-6903
Mailing Address - Street 1:671 HIOAKS RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23225-4042
Mailing Address - Country:US
Mailing Address - Phone:804-323-6903
Mailing Address - Fax:804-560-0232
Practice Address - Street 1:671 HIOAKS RD
Practice Address - Street 2:SUITE B
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23225-4042
Practice Address - Country:US
Practice Address - Phone:804-323-6903
Practice Address - Fax:804-560-0232
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-27
Last Update Date:2010-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty