Individual
DR. AKSHAY VENKATESWARA KOLLURI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
12165 ELM ST, PRINCESS ANNE, MD 21853-1358
(410) 651-5151
(410) 651-4256
Mailing address
621 RIDGELY AVE STE 202, ANNAPOLIS, MD 21401-1083
(410) 897-1931
(410) 897-1932
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
Primary
17447
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
119591300
—
MD
Enumeration date
05/12/2020
Last updated
01/23/2026
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