Individual
SANTHA KOLLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
148 BURNETTS WAY STE 107, SUFFOLK, VA 23434-6149
(757) 738-1375
(757) 934-6935
Mailing address
8580 MAGELLAN PKWY, RICHMOND, VA 23227-1149
(866) 449-0896
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
4301115684
MI
Other
Enumeration date
06/29/2018
Last updated
10/18/2021
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