Individual
PAVAN KOLLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
204 TALCOTT RIDGE RD, SOUTH WINDSOR, CT 06074-2394
(860) 648-4032
(260) 407-8004
Mailing address
204 TALCOTT RIDGE RD, SOUTH WINDSOR, CT 06074-2394
(860) 648-4032
(260) 407-8004
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
36831
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
64036676
—
KY
01
—
930109200
RAILROAD
KY
Enumeration date
07/09/2006
Last updated
10/15/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us