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Individual

KOLALA R SRIDHAR

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
BERKSHIRE MEDICAL CENTER, 725 NORTH STREET, PITTSFIELD, MA 01201
(413) 447-2000
Mailing address
BERKSHIRE MEDICAL CENTER, 725 NORTH STREET, PITTSFIELD, MA 01201
(413) 417-2000
(860) 886-9771

Taxonomy

Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
023184
CT
207RG0100X
Gastroenterology Physician
290596
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
010023184CT02
ANTHEM BCBS CT
CT
01
030206
HEALTHNET NE
CT
01
2543540
AETNA HMO
CT
01
4383009
AETNA PPO
CT
01
611709
CONNECTICARE
CT
01
NLS073
OXFORD
CT
Enumeration date
10/31/2005
Last updated
07/08/2024
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