Lavanya Kolluri in Springfield - Internal Medicine
Lavanya Kolluri - NPI 1043255144
Lavanya Kolluri is a Internal Medicine in Springfield, Illinois. Lavanya Kolluri practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Lavanya Kolluri is 1043255144. The last update date is 2019-06-19.
Lavanya Kolluri's current location address is 3132 Old Jacksonville Rd, Springfield, Illinois. You can contact this provider via phone number 2178620062 and fax number 2178620064. The mailing address for Lavanya Kolluri is 3132 Old Jacksonville Rd, Springfield, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lavanya Kolluri |
|---|---|
| Address | 3132 Old Jacksonville Rd, Springfield, Illinois |
| Phone Number | 2178620062 |
| Fax Number | 2178620064 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1043255144 |
|---|---|
| Provider Enumeration Date | 2006-06-20 |
| Last Updated Date | 2019-06-19 |
Provider Mailing Address Detail
| Address | 3132 Old Jacksonville Rd |
|---|---|
| City | Springfield |
| State | Illinois (IL) |
| Post Code | 627047401 |
| Phone Number | 2178620062 |
| Fax Number | 2178620064 |
Provider's Primary Taxonomy Detail
| Speciality | Internal Medicine |
|---|---|
| Taxonomy | 207R00000X |
| Licence No | 36115509 |
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Definition: A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and di |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 266180960 | IN | MEDICARE | |
| 300001136 | IN | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Lavanya Kolluri by the Centers for Medicare & Medicaid Services?
The Lavanya Kolluri has been issued the NPI (National Provider Identifier) 1043255144, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Lavanya Kolluri?
The Lavanya Kolluri is situated at 3132 Old Jacksonville Rd, in the city of Springfield, state of IL, with the zip code 627047401.
What is Lavanya Kolluri's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Lavanya Kolluri's specialized field of practice is Internal Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207R00000X.
When did Lavanya Kolluri receive its 1043255144 assignment?
The Lavanya Kolluri was assigned its 1043255144 on 2006-06-20, which is the date when this unique identifier was issued to the organization.
When was the information related to Lavanya Kolluri most recently updated or refreshed?
The details pertaining to the Lavanya Kolluri, including its address, specialty, and other relevant information, were last updated or refreshed on 2019-06-19.