Praveen Kollipara MD

NPI 1073515987 - Internal Medicine - 207RH0003X

NPI Details
NPI 1073515987
Gender Male
Enumeration Date 08/10/2005
Last Updated 06/21/2016
Entity Type Individual
Active Over 11 years ago
Practice Location
11143 PARKVIEW PLAZA DR
FORT WAYNE IN, 46845-1727, US
Phone (260) 484-8830
Fax (260) 483-1911
Business Location
11143 PARKVIEW PLAZA DR
FORT WAYNE IN, 46845-1727, US
Phone (260) 484-8830
Fax (260) 483-1911
Toxanomy
Taxonomy Code 207RH0003X
License State Indiana
License Number 01046718A
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According to our database, Praveen Kollipara MD NPI is 1073515987, taxonomy code is 207RH0003X and license number is 01046718A, license state is located at Indiana. Praveen Kollipara MD physically located at 11143 Parkview Plaza Dr, Fort Wayne IN, 46845-1727. NPI Number Praveen Kollipara MD has the Individual type.

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1073515987 NPI number is provided on an as is basis without warranty of any kind. 1073515987 is maintained by the National Plan & Provider Enumeration System. The contents of Praveen Kollipara MD are for informational purposes only.