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
Fax: (432) 570-5440
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1528065893 NPPES
Texas MEDICAID 135590104

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