Organization
SRISAI P C
Active
Other names
Anuradha Kollipara, MD
Organization subpart
No
Provider details
NPI number
Authorized official
ANURADHA KOLLIPARA M.D. (OWNER)
(260) 459-1780
Entity
Organization
Contact information
Practice address
7972 WEST JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804-4140
(260) 459-1780
(260) 459-2779
Mailing address
7972 WEST JEFFERSON BLVD, SUITE A, FORT WAYNE, IN 46804-4140
(260) 459-1780
(260) 459-2779
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
01046950
IN
Other
Enumeration date
04/16/2009
Last updated
03/30/2017
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