Individual
DR. KOLLIPARA RAJSHEKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
835 SWEITZER ST, GREENVILLE, OH 45331-1007
(937) 547-5723
(937) 547-5784
Mailing address
PO BOX 932759, CLEVELAND, OH 44193-0015
(866) 282-7905
(800) 731-0751
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
35045067
OH
207LP2900X
Pain Medicine (Anesthesiology) Physician
35045067
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050081069
RAILROAD MEDICARE
OH
05
—
2002255
—
OH
01
—
200412160
INDIANA MEDICAID
IN
Enumeration date
07/12/2005
Last updated
08/19/2019
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