Individual
SRINIVAS S BOLLIMPALLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Mailing address
645 E MISSOURI AVE STE 300, PHOENIX, AZ 85012-1351
(602) 262-8900
(602) 262-8890
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
01098507A
IN
207L00000X
Anesthesiology Physician
036172171
IL
207L00000X
Anesthesiology Physician
Primary
27497
AZ
207L00000X
Anesthesiology Physician
341750
NY
207L00000X
Anesthesiology Physician
MD-55247
IA
207L00000X
Anesthesiology Physician
MD28221
ME
207LP2900X
Pain Medicine (Anesthesiology) Physician
01098507A
IN
207LP2900X
Pain Medicine (Anesthesiology) Physician
27497
AZ
207LP2900X
Pain Medicine (Anesthesiology) Physician
MD-55247
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050072098
MEDICARE RAILROAD
—
05
—
1205806940
—
ME
05
—
502270
—
AZ
Enumeration date
01/25/2006
Last updated
04/27/2026
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