Kollu, Vidya

Kollu, Vidya is an individual health care provider with primary practice located at 1345 W Central Park Ave , Davenport IA 52804-1844. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Hematology & Oncology. Allopathic & Osteopathic Physicians / Hematology & Oncology is her primary health care specialty. Kollu, Vidya can be contacted via phone (563) 421-1900.

Contact Information

Primary practice address
1345 W Central Park Ave Davenport IA 52804-1844
Phone: (563) 421-1900
Fax: (563) 421-1809
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X MD-43419 Iowa
Allopathic & Osteopathic Physicians / Hematology & Oncology 207RH0003X 69007 Wisconsin

Profile Details

NPI number 1710346671
LBN Legal business name Kollu, Vidya
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 19th, 2016
Last updated Aug 11th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710346671 NPPES
Wisconsin MEDICAID 1710346671

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