Kolli, Madhu K
Kolli, Madhu K is an individual health care provider with primary practice located at 828 Healthy Way Ste 270 , Virginia Beach VA 23462-7959. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Nephrology. Allopathic & Osteopathic Physicians / Nephrology is his primary health care specialty. Kolli, Madhu K can be contacted via phone (757) 623-0005.Contact Information
Primary practice address
828 Healthy Way Ste 270
Virginia Beach VA 23462-7959
Phone: (757) 623-0005
Fax: (757) 389-5383
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 0101232981 | Virginia |
| Allopathic & Osteopathic Physicians / Nephrology | 207RN0300X | 0101232981 | Virginia |
Profile Details
| NPI number | 1114900552 |
|---|---|
| LBN Legal business name | Kolli, Madhu K |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Nov 21st, 2005 |
| Last updated | Jan 20th, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1114900552 | NPPES |
| Virginia | Other | 103251 | BLUE CROSS BLUE SHEILD |
| Virginia | MEDICAID | 005875889 | BLUE CROSS BLUE SHEILD |
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