Samrajyam Kolluru is a Specialist in Odessa, Texas. Samrajyam Kolluru practices all healthcare services and medical treatments related to Specialist. The NPI Number for Samrajyam Kolluru is 1770580631. The last update date is 2007-07-08.
Samrajyam Kolluru's current location address is 621 N Washington Ave, Odessa, Texas. You can contact this provider via phone number 4325809999 and fax number 4325805051. The mailing address for Samrajyam Kolluru is 621 N Washington Ave, Odessa, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samrajyam Kolluru |
|---|---|
| Address | 621 N Washington Ave, Odessa, Texas |
| Phone Number | 4325809999 |
| Fax Number | 4325805051 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770580631 |
|---|---|
| Provider Enumeration Date | 2005-07-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 621 N Washington Ave |
|---|---|
| City | Odessa |
| State | Texas (TX) |
| Post Code | 7976144360 |
| Phone Number | 4325809999 |
| Fax Number | 4325805051 |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | H9663 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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What is the unique 10-digit identifier code issued to Samrajyam Kolluru by the Centers for Medicare & Medicaid Services?
The Samrajyam Kolluru has been assigned the NPI (National Provider Identifier) 1770580631 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
What is Samrajyam Kolluru's specialized field of practice, and what is the corresponding taxonomy classification code?
The Samrajyam Kolluru's area of specialization is Specialist, and the corresponding taxonomy code that categorizes this field of practice is 174400000X.
What is Samrajyam Kolluru's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Samrajyam Kolluru is Specialist, and the corresponding taxonomy classification code for this specialized field is 174400000X.
On what date did the Samrajyam Kolluru receive the assignment of its 1770580631 from the Centers for Medicare & Medicaid Services?
The Samrajyam Kolluru was issued its 1770580631 by the Centers for Medicare & Medicaid Services on 2005-07-06.
When was the information regarding Samrajyam Kolluru most recently updated?
The details pertaining to the Samrajyam Kolluru, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.