Individual
DR. SRIDHAR REDDY BOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8244 E US HIGHWAY 36 STE 1340, AVON, IN 46123-9688
(317) 520-5510
(317) 386-5539
Mailing address
8244 E US HIGHWAY 36 STE 1340, AVON, IN 46123-9688
(317) 520-5510
(317) 386-5539
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
Primary
01059289A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000380791
ANTHEM
IN
05
—
200336270
—
IN
Enumeration date
05/27/2006
Last updated
09/17/2020
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