Individual
PREETAM R BOLLAMPALLY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2400 17TH ST, COLUMBUS, IN 47201-5351
(812) 376-5974
Mailing address
PO BOX 775383, CHICAGO, IL 60677-5383
(123) 765-3815
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01088716A
IN
207R00000X
Internal Medicine Physician
036146843
IL
208M00000X
Hospitalist Physician
01088716A
IN
Other
Enumeration date
06/24/2014
Last updated
10/01/2025
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