Individual
RAMACHANDRA KOLLURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
420E6TH STREET, ODESSA, TX 79761-4537
(432) 685-3333
(432) 570-5440
Mailing address
5 SANTA MARIA CT, ODESSA, TX 79765-8515
(432) 685-3333
(432) 570-5440
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
J0555
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
135590104
—
TX
Enumeration date
07/01/2005
Last updated
10/21/2015
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