Organization
RAJANARENDER R. CHOLLETI, MD PA
Active
Other names
Rajanarender Reddy Cholleti, MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH L MOSES (OFFICE MANAGER)
(817) 426-4700
Entity
Organization
Contact information
Practice address
1161 SW WILSHIRE BLVD, SUITE 115, BURLESON, TX 76028-5707
(817) 426-4700
(817) 426-4737
Mailing address
1161 SW WILSHIRE BLVD, SUITE 115, BURLESON, TX 76028-5707
(817) 426-4700
(817) 426-4737
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
L0089
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0086GP
BCBS
TX
05
—
040329702
—
TX
01
—
10030775
AMERIGROUP
TX
01
—
110224533
RAIL ROAD MEDICARE
TX
01
—
7827163
AETNA
TX
01
—
90116910
PACIFICARE SECURE HORIZON
TX
Enumeration date
03/19/2007
Last updated
08/14/2012
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