Kolli, Sunil C
Kolli, Sunil C is an individual health care provider with primary practice located at 100 Medical Pkwy Ste A , Lakeway TX 78738-5621. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hospitalist. Allopathic & Osteopathic Physicians / Hospitalist is his primary health care specialty. Kolli, Sunil C can be contacted via phone (512) 571-5000.Contact Information
Primary practice address
100 Medical Pkwy Ste A
Lakeway TX 78738-5621
Phone: (512) 571-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Internal Medicine | 207R00000X | 036110816 | Illinois |
| Allopathic & Osteopathic Physicians / Hospitalist | 208M00000X | N0900 | Texas |
Profile Details
| NPI number | 1396704870 |
|---|---|
| LBN Legal business name | Kolli, Sunil C |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 22nd, 2006 |
| Last updated | Jan 26th, 2022 - about 2 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 | 1396704870 | NPPES |
| Illinois | Other | 036110816 | BCBS |
| Illinois | Other | P00301909 | BCBS |
| Illinois | Other | 341646YMVU | BCBS |
| Illinois | MEDICAID | 036110816 | BCBS |
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