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Individual
SUNIL C KOLLI
Active
Individual
SUNIL C KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036110816
IL
208M00000X
Hospitalist Physician
Primary
N0900
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036110816
BCBS
IL
05
—
036110816
—
IL
01
—
341646YMVU
WELLMED NETWORKS INC
TX
01
—
P00301909
RAIL ROAD MEDICARE
IL
Enumeration date
03/22/2006
Last updated
01/26/2022
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