Individual
GEETHA KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D
Contact information
Practice address
1441 N 12TH ST, SECOND FLOOR, PHOENIX, AZ 85006-2837
(602) 521-5800
Mailing address
1441 N 12TH ST, SECOND FLOOR, PHOENIX, AZ 85006
(602) 521-5800
Taxonomy
Speciality
Code
Description
License number
State
207RI0008X
Hepatology Physician
Primary
37442
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
37442
STATE LICENSE
AZ
Enumeration date
08/23/2007
Last updated
01/05/2017
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