| Name | Value |
|---|---|
| PROVIDER TYPE | Allopathic & Osteopathic Physicians |
| CLASSIFICATION | Pediatrics |
| DEFINITION | A pediatrician who deals with the normal and abnormal development and maturation of the kidney and urinary tract, the mechanisms by which the kidney can be damaged, the evaluation and treatment of renal diseases, fluid and electrolyte abnormalities, hypertension and renal replacement therapy. |
| AREA OF SPECIALIZATION | Pediatric Nephrology |
| STATUS | Active |
| VA CODE | V182515 |
| X12 CODE | 2080P0210X |
| SPECIALTY CODE | 37 |
| INDIVIDUAL/NON | INDIVIDUAL |
| MASTER ENTRY FOR VUID | YES |
| VUID | 5251889 |
| EFFECTIVE DATE/TIME |
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