Individual
SAI ANUDEEP KOLLIPARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11109 PARKVIEW PLAZA DR, FORT WAYNE, IN 46845-1701
(260) 482-4440
Mailing address
608 UNION CHAPEL RD, FORT WAYNE, IN 46845-9357
(260) 482-4440
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
01099733A
IN
207P00000X
Emergency Medicine Physician
Primary
4351050591
MI
Other
Enumeration date
05/23/2023
Last updated
06/30/2026
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