Gopala Rao Kolluru in Fremont - Cardiovascular Disease

Gopala Rao Kolluru - NPI 1164500682

Gopala Rao Kolluru is a Cardiovascular Disease in Fremont, California. Gopala Rao Kolluru practices all healthcare services and medical treatments related to Cardiovascular Disease. The NPI Number for Gopala Rao Kolluru is 1164500682. The last update date is 2012-07-12.

Gopala Rao Kolluru's current location address is 2287 Mowry Ave, Fremont, California. You can contact this provider via phone number 5107975057 and fax number 5107975058. The mailing address for Gopala Rao Kolluru is 2287 Mowry Ave, Fremont, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Gopala Rao Kolluru
Address 2287 Mowry Ave, Fremont, California
Phone Number 5107975057
Fax Number 5107975058
Sole Proprietor Y
Credentials M.D.

NPI Number Detail

NPI Number 1164500682
Provider Enumeration Date 2006-11-01
Last Updated Date 2012-07-12

Provider Mailing Address Detail

Address 2287 Mowry Ave
City Fremont
State California (CA)
Post Code 945381622
Phone Number 5107975057
Fax Number 5107975058

Provider's Primary Taxonomy Detail

Speciality Cardiovascular Disease
Taxonomy 207Rc0000X
Licence No A38134
Definition:
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00A381340 CA --
A3813410 CA --

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FAQs about Gopala Rao Kolluru

What is the Gopala Rao Kolluru's 1164500682?

The Gopala Rao Kolluru's NPI (National Provider Identifier) Number is 1164500682. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical address where Gopala Rao Kolluru is geographically located?

The Gopala Rao Kolluru is physically situated at the following location: 2287 Mowry Ave, Fremont, CA, 945381622.

What is Gopala Rao Kolluru's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Gopala Rao Kolluru is Cardiovascular Disease, and the taxonomy code that categorizes this field of expertise is 207Rc0000X.

When did Gopala Rao Kolluru receive its 1164500682 assignment?

The Gopala Rao Kolluru was assigned its 1164500682 on 2006-11-01, which is the date when this unique identifier was issued to the organization.

As of what date were the details related to Gopala Rao Kolluru most recently updated or revised?

The information pertaining to Gopala Rao Kolluru, including its address, specialty, and other relevant details, was last updated or revised on 2012-07-12.

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