Individual
DR. KOTESWARA R. NALLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
561 W CENTRAL AVE, DELAWARE, OH 43015-1410
(740) 615-1000
(740) 615-2142
Mailing address
5450 FRANTZ RD STE 360, DUBLIN, OH 43016-4141
(419) 520-2495
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
35.076225
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2125060
—
OH
Enumeration date
01/23/2006
Last updated
01/25/2022
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