Individual
DR. BOLLAIAH BORRA
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 E MOUNTAIN BLVD, DEPT OF RADIOLOGY, WILKES BARRE, PA 18711-0027
(570) 826-7779
(570) 821-2394
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
2085N0700X
Neuroradiology Physician
Primary
MD037497L
PA
2085R0202X
Diagnostic Radiology Physician
MD037497L
PA
Other
Enumeration date
02/22/2006
Last updated
09/11/2025
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