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Individual

RAGHU KOLLURI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3705 OLENTANGY RIVER RD, SUITE 100, COLUMBUS, OH 43214-3467
(614) 262-6772
(614) 533-0162
Mailing address
PO BOX 7527, DUBLIN, OH 43017-0727

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
35.083979
OH
207R00000X
Internal Medicine Physician
Primary
35.083979
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0082537
OH
Enumeration date
10/24/2006
Last updated
01/17/2022
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