Organization
SRI D. KOLLI, M.D., P.C.
Active
Organization
SRI D. KOLLI, M.D., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CYNTHIA JEAN WHITENER (OFFICE MANAGER)
(314) 525-4934
Entity
Organization
Contact information
Practice address
10004 KENNERLY RD, SUITE 330A, SAINT LOUIS, MO 63128-2141
(314) 525-4520
(314) 525-4521
Mailing address
10004 KENNERLY RD, SUITE 330A, SAINT LOUIS, MO 63128-2141
(314) 525-4520
(314) 525-4521
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
109530
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
DA8462
RAILROAD MEDICARE
MO
Enumeration date
03/08/2007
Last updated
03/05/2008
Update your record
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