Kolluru, Mangaraju

Kolluru, Mangaraju is an individual health care provider with primary practice located at 1101 River Rd , Selma NC 27576-3611. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / General Practice is his primary health care specialty. Kolluru, Mangaraju can be contacted via phone (919) 965-9655.

Contact Information

Primary practice address
1101 River Rd Selma NC 27576-3611
Phone: (919) 965-9655
Fax: (919) 975-1029
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 26290 North Carolina
Allopathic & Osteopathic Physicians / General Practice 208D00000X 26290 North Carolina

Profile Details

NPI number 1346250800
LBN Legal business name Kolluru, Mangaraju
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 8th, 2006
Last updated Sep 21st, 2012 - about 14 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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