Individual
DR. PRASHANTA BHARADWAJA KOLLURU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1602 SKIPWITH RD, RICHMOND, VA 23229-5298
(804) 289-4500
Mailing address
1602 SKIPWITH RD, RICHMOND, VA 23229-5298
(804) 289-4500
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101255970
VA
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Enumeration date
10/15/2011
Last updated
06/01/2023
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