Sudha Kolli Md Pa

LBN: Sudha Kolli Md Pa
Sudha Kolli Md Pa is an health care organization with primary practice located at 330 Livingston Ave , New Brunswick NJ 08901. The organization recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as the primary health care specialty. Sudha Kolli Md Pa can be contacted via phone (732) 249-2044, or through Kolli, Sudha via phone (732) 249-2044.

Contact Information

Primary practice address
330 Livingston Ave New Brunswick NJ 08901
Phone: (732) 249-2044
Fax: (732) 249-6225
Website:
Map and Directions
Authorized official contact:
Name: Kolli, Sudha Doctor of Medicine (MD)
Phone: (732) 249-2044

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X

Profile Details

NPI number 1134252232
LBN Legal business name Sudha Kolli Md Pa
DBA Doing business as
Authorized official Kolli, Sudha Doctor of Medicine (MD)
Entity Organization
Organization subpart 1 No
Enumeration date Mar 14th, 2007
Last updated Aug 22nd, 2020 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134252232 NPPES
Other 2075976001 KEYSTONE
Other 28658 KEYSTONE
Other 01000598201 KEYSTONE
Other 1165329 KEYSTONE
Other P2212167 KEYSTONE
Other 2K0392 KEYSTONE
MEDICAID 8181705 KEYSTONE

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