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Individual
PRATHIK KOLLURU
Active
Individual
PRATHIK KOLLURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
2024010147
MO
208M00000X
Hospitalist Physician
Primary
2024010147
MO
Other
Enumeration date
06/27/2015
Last updated
09/23/2024
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