Individual
ANITHA KOLUKULA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
9323 GARLAND RD STE 301, DALLAS, TX 75218-4691
(866) 202-1005
Mailing address
9323 GARLAND RD STE 301, DALLAS, TX 75218-4691
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
M2677
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
178918201
—
TX
05
—
178918202
—
TX
05
—
184064701
—
TX
Enumeration date
07/12/2006
Last updated
09/11/2009
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