Pavani Kolli is a Internal Medicine in Dearborn, Michigan. Pavani Kolli practices all healthcare services and medical treatments related to Internal Medicine. The NPI Number for Pavani Kolli is 1649240615. The last update date is 2008-09-05.
Pavani Kolli's current location address is 24604 Michigan Ave, Dearborn, Michigan. You can contact this provider via phone number 3139089374 and fax number 3135628511. The mailing address for Pavani Kolli is 24604 Michigan Ave, Dearborn, Michigan. To know further, please read the information below!
Provider Profile Detail
Provider Name | Pavani Kolli |
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Address | 24604 Michigan Ave, Dearborn, Michigan |
Phone Number | 3139089374 |
Fax Number | 3135628511 |
Sole Proprietor | N |
Credentials | MD |
NPI Number Detail
NPI Number | 1649240615 |
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Provider Enumeration Date | 2006-01-24 |
Last Updated Date | 2008-09-05 |
Provider Mailing Address Detail
Address | 24604 Michigan Ave |
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City | Dearborn |
State | Michigan (MI) |
Post Code | 481241742 |
Phone Number | 3139089374 |
Fax Number | 3135628511 |
Provider's Primary Taxonomy Detail
Speciality | Internal Medicine |
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Taxonomy | 207R00000X |
Licence No | 4301074415 |
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 |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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4600306 | MI | -- |
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What is the unique identification code assigned to Pavani Kolli by the Centers for Medicare & Medicaid Services?
The Pavani Kolli has been issued the NPI (National Provider Identifier) 1649240615. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Pavani Kolli located?
The Pavani Kolli is located at 24604 Michigan Ave, Dearborn, MI 481241742.
What is the area of specialization for Pavani Kolli, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Pavani Kolli is Internal Medicine, and the corresponding taxonomy code that categorizes this area of expertise is 207R00000X.
On what date did the Pavani Kolli receive its 1649240615 assignment from the Centers for Medicare & Medicaid Services?
The Pavani Kolli was assigned its 1649240615 by the Centers for Medicare & Medicaid Services on 2006-01-24.
When was the information related to Pavani Kolli most recently updated or refreshed?
The details pertaining to the Pavani Kolli, including its address, specialty, and other relevant information, were last updated or refreshed on 2008-09-05.