Individual
GOPALA RAO KOLLURU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
27206 CALAROGA AVE, SUITE 207, HAYWARD, CA 94545-4300
(510) 797-5057
(510) 797-5058
Mailing address
2287 MOWRY AVE, SUITE B, FREMONT, CA 94538-1622
(510) 797-5057
(510) 797-5058
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
A38134
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00A381340
—
CA
05
—
A3813410
—
CA
Enumeration date
11/01/2006
Last updated
07/12/2012
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