Kolluru, Ramachandra
Kolluru, Ramachandra is an individual health care provider with primary practice located at 420E6Th Street , Odessa TX 79761-4537. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Kolluru, Ramachandra can be contacted via phone (432) 685-3333.Contact Information
Primary practice address
420E6Th Street
Odessa TX 79761-4537
Phone: (432) 685-3333
Fax: (432) 570-5440
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Cardiovascular Disease | 207RC0000X | J0555 | Texas |
Profile Details
| NPI number | 1528065893 |
|---|---|
| LBN Legal business name | Kolluru, Ramachandra |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 1st, 2005 |
| Last updated | Oct 21st, 2015 - about 9 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 | 1528065893 | NPPES |
| Texas | MEDICAID | 135590104 |
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