Healthcare Provider Details

I. General information

NPI: 1720908213
Provider Name (Legal Business Name): SVASTHYA RENAL PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/16/2026
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6 FREEWAY DR STE 100
LITTLE ROCK AR
72204-1201
US

IV. Provider business mailing address

47 ORLE CIR
LITTLE ROCK AR
72223-8928
US

V. Phone/Fax

Practice location:
  • Phone: 800-424-6589
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RN0300X
TaxonomyNephrology Physician
License Number
License Number State

VIII. Authorized Official

Name: RAMAKRISHNA THOTAKURA
Title or Position: DIRECTOR
Credential: MD
Phone: 716-445-9555