Organization
VASCULAR MEDICINE & SURGICAL ASSOCIATES, LLP
Active
Other names
Kollipara & Kollipara
Organization subpart
No
Provider details
NPI number
Authorized official
VENKATA S. KOLLIPARA M.D. (PRESIDENT)
(330) 747-1106
Entity
Organization
Contact information
Practice address
540 PARMALEE AVE, 410, YOUNGSTOWN, OH 44510-1716
(330) 747-1106
(330) 747-0491
Mailing address
540 PARMALEE AVE, 410, YOUNGSTOWN, OH 44510-1716
(330) 747-1106
(330) 747-0491
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35-046028
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0589368
—
OH
01
—
DA9406
RAILROAD MEDICARE
OH
Enumeration date
10/10/2007
Last updated
11/12/2008
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