Individual
KANTHA RATNAM KOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
(225) 755-4998
Mailing address
17000 MEDICAL CENTER DR, BATON ROUGE, LA 70816-3246
(225) 752-2470
(225) 755-4998
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
329926
LA
Other
Enumeration date
03/22/2019
Last updated
08/12/2022
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