Individual
DR. SRINIVAS KOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD INC
Contact information
Practice address
1500 E MAIN ST, LANCASTER, OH 43130-3478
(740) 687-9182
(740) 687-0278
Mailing address
1500 EAST MAIN STREET, LANCASTER, OH 43130-3478
(740) 687-9182
(740) 687-0278
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
35068262K
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0169866
—
OH
Enumeration date
01/30/2006
Last updated
11/29/2010
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