Provider Demographics
NPI:1659166809
Name:SUMMIT NEPHROLOGY PLLC
Entity type:Organization
Organization Name:SUMMIT NEPHROLOGY PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:NEELAM
Authorized Official - Middle Name:
Authorized Official - Last Name:CHOPRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:719-630-1006
Mailing Address - Street 1:1380 E FILLMORE ST STE 100
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80907-6464
Mailing Address - Country:US
Mailing Address - Phone:719-630-1006
Mailing Address - Fax:719-630-0688
Practice Address - Street 1:1380 E FILLMORE ST STE 100
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80907-6464
Practice Address - Country:US
Practice Address - Phone:719-630-1006
Practice Address - Fax:719-630-0688
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-10
Last Update Date:2025-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RN0300XAllopathic & Osteopathic PhysiciansInternal MedicineNephrologyGroup - Single Specialty