Individual
DR. ARUN K. KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
6750 E BAYWOOD AVE # 301, MESA, AZ 85206-1749
(480) 835-6100
(480) 505-5287
Mailing address
6402 E SUPERSTITION SPRINGS BLVD STE 224, MESA, AZ 85206-4394
(480) 835-6100
(480) 505-5287
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
36429
AZ
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
36429
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
199662
—
AZ
01
—
P00447794
RAIL ROAD MEDICARE
AZ
Enumeration date
07/16/2006
Last updated
03/26/2014
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