Bolla, Sridhar Reddy

Bolla, Sridhar Reddy is an individual health care provider with primary practice located at 8244 E Us Highway 36 Ste 1340 , Avon IN 46123-9688. He recently has only one registered license in Allopathic & Osteopathic Physicians / Hematology & Oncology, which is considered as his primary health care specialty. Bolla, Sridhar Reddy can be contacted via phone (317) 520-5510.

Contact Information

Primary practice address
8244 E Us Highway 36 Ste 1340 Avon IN 46123-9688
Phone: (317) 520-5510
Fax: (317) 386-5539
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 01059289A Indiana

Profile Details

NPI number 1316994148
LBN Legal business name Bolla, Sridhar Reddy
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 27th, 2006
Last updated Sep 17th, 2020 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316994148 NPPES
Indiana Other 000000380791 ANTHEM
Indiana MEDICAID 200336270 ANTHEM

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