Kolla, Bhaskar Chandu

Kolla, Bhaskar Chandu is an individual health care provider with primary practice located at 640 Jackson St , Saint Paul MN 55101-2502. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Hematology & Oncology, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Hematology & Oncology is his primary health care specialty. Kolla, Bhaskar Chandu can be contacted via phone (651) 254-3448.

Contact Information

Primary practice address
640 Jackson St Saint Paul MN 55101-2502
Phone: (651) 254-3448
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 56191 Minnesota
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 53546 Wisconsin
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 125050705 Illinois

Profile Details

NPI number 1659535615
LBN Legal business name Kolla, Bhaskar Chandu
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 17th, 2008
Last updated Apr 17th, 2024 - about 5 months 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 1659535615 NPPES
Wisconsin MEDICAID 1659535615

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