Praveen Kollipara in Fort Wayne - Hematology & Oncology
Praveen Kollipara - NPI 1073515987
Praveen Kollipara is a Hematology & Oncology in Fort Wayne, Indiana. Praveen Kollipara practices all healthcare services and medical treatments related to Hematology & Oncology. The NPI Number for Praveen Kollipara is 1073515987. The last update date is 2020-05-06.
Praveen Kollipara's current location address is 7910 W Jefferson Blvd Ste 108, Fort Wayne, Indiana. You can contact this provider via phone number 2604848830 and fax number 2604831911. The mailing address for Praveen Kollipara is 7910 W Jefferson Blvd Ste 108, Fort Wayne, Indiana. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Praveen Kollipara |
|---|---|
| Address | 7910 W Jefferson Blvd Ste 108, Fort Wayne, Indiana |
| Phone Number | 2604848830 |
| Fax Number | 2604831911 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1073515987 |
|---|---|
| Provider Enumeration Date | 2005-08-10 |
| Last Updated Date | 2020-05-06 |
Provider Mailing Address Detail
| Address | 7910 W Jefferson Blvd Ste 108 |
|---|---|
| City | Fort Wayne |
| State | Indiana (IN) |
| Post Code | 468044159 |
| Phone Number | 2604848830 |
| Fax Number | 2604831911 |
Provider's Primary Taxonomy Detail
| Speciality | Hematology & Oncology |
|---|---|
| Taxonomy | 207Rh0003X |
| Licence No | 01046718A |
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Definition: An internist doctor of osteopathy that specializes in the treatment of the combination of hematology and oncology disorders. A doctor of osteopathy that is board eligible/certified by the American Osteopathic Board of Internal Medicine WAS able to ob |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 83727 | IN | ANTHEM | |
| 693537 | IN | ANTHEM | |
| 200148280 | IN | -- | |
| 3045547 | OH | -- |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Praveen Kollipara by the Centers for Medicare & Medicaid Services?
The Praveen Kollipara has been issued the NPI (National Provider Identifier) 1073515987, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Praveen Kollipara?
The Praveen Kollipara is physically situated at 7910 W Jefferson Blvd Ste 108, in the city of Fort Wayne, state of IN, with the postal code 468044159.
What is Praveen Kollipara's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Praveen Kollipara is Hematology & Oncology, and the taxonomy code that categorizes this field of expertise is 207Rh0003X.
When did the Praveen Kollipara receive its 1073515987?
The Praveen Kollipara was issued its 1073515987 on 2005-08-10, which is the date when the organization was assigned this unique identifier.
As of what date were the Praveen Kollipara's details last updated?
The information pertaining to the Praveen Kollipara, including its address, specialty, and other details, was most recently updated on 2020-05-06.