Kolluri, Harini

Kolluri, Harini is an individual health care provider with primary practice located at 5841 S Maryland Ave , Chicago IL 60637-1447. She recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatric Endocrinology, Student, Health Care / Student in an Organized Health Care Education/Training Program, Allopathic & Osteopathic Physicians / Pediatrics. Allopathic & Osteopathic Physicians / Pediatrics is her primary health care specialty. Kolluri, Harini can be contacted via phone (773) 795-0168.

Contact Information

Primary practice address
5841 S Maryland Ave Chicago IL 60637-1447
Phone: (773) 795-0168
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Endocrinology 2080P0205X 036.122918 Illinois
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X 125051149 Illinois
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 01067265A Indiana

Profile Details

NPI number 1407019060
LBN Legal business name Kolluri, Harini
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2008
Last updated Apr 26th, 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 1407019060 NPPES
Indiana Other 000000646342 ANTHEM PIN
Indiana Other 151020NNNN ANTHEM PIN
Indiana MEDICAID 200965410 ANTHEM PIN

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