Individual
SRINIVAS KOLLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
450 CLARKSON AVE, DEPT OF RADIOLOGY BOX 1198, BROOKLYN, NY 11203-2056
(718) 270-7378
Mailing address
450 CLARKSON AVE, DEPT OF RADIOLOGY BOX 1198, BROOKLYN, NY 11203-2012
(718) 270-1603
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
238079
NY
2085R0202X
Diagnostic Radiology Physician
A93364
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00A933640
MEDICAL
CA
01
—
02321093
NY MEDICAID (GROUP)
NY
05
—
02931946
—
NY
Enumeration date
06/13/2006
Last updated
07/30/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us