Kolla, Srinivas

Kolla, Srinivas is an individual health care provider with primary practice located at 3400 Ministry Pkwy , Weston WI 54476-5220. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Vascular Surgery, Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery). Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) is his primary health care specialty. Kolla, Srinivas can be contacted via phone (715) 393-1000.

Contact Information

Primary practice address
3400 Ministry Pkwy Weston WI 54476-5220
Phone: (715) 393-1000
Fax: (715) 393-1469
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Surgery 208600000X 01063060A Indiana
Allopathic & Osteopathic Physicians / Vascular Surgery 2086S0129X 036132466 Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 036132466 Illinois
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) 208G00000X 71626 Wisconsin

Profile Details

NPI number 1235100397
LBN Legal business name Kolla, Srinivas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 27th, 2006
Last updated Dec 21st, 2021 - about 3 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 1235100397 NPPES
Wisconsin MEDICAID 1235100397

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