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Individual

MADHU S KOLLIPARA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3258
(330) 480-4119
Mailing address
1044 BELMONT AVE, YOUNGSTOWN, OH 44504-1006
(330) 480-3258
(330) 480-4119

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
M6239
TX
207RP1001X
Pulmonary Disease Physician
Primary
M6239
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
191027501
TX
05
191027503
TX
05
191027504
TX
Enumeration date
08/11/2006
Last updated
03/14/2022
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