Individual
DR. PRASHANTHI REDDY BOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1481 WEST 10 TH ST, INDIANAPOLIS, IN 46202
(317) 988-4498
Mailing address
1481 WEST 10 TH STREET, INDIANAPOLIS, IN 46202
(317) 988-4498
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01059850A
IN
Other
Enumeration date
01/31/2007
Last updated
10/22/2010
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