Individual
DR. SASHANK KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
2525 W UNIVERSITY AVE, STE 300, MUNCIE, IN 47303-3421
(765) 289-5409
(765) 281-2089
Mailing address
1200 W WHITE RIVER BLVD, RCS PROVIDER ENROLLMENT, MUNCIE, IN 47303-4988
(877) 668-5621
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
036.132367
IL
207R00000X
Internal Medicine Physician
125057634
IL
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
336093668
IL
207RP1001X
Pulmonary Disease Physician
Primary
01077961A
IN
207RP1001X
Pulmonary Disease Physician
336093668
IL
Other
Enumeration date
08/04/2010
Last updated
03/04/2021
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