Organization
JAYASELVI KOLLI MD PC
Active
Other names
Aum OB Gyn Associates
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYASELVI KOLLI MD (OWNER)
(716) 278-9619
Entity
Organization
Contact information
Practice address
6934 ELAINE DRIVE, NIAGARA FALLS, NY 14304
(716) 278-9619
(716) 213-0935
Mailing address
908 NIAGARA FALLS BLVD, SUITE 208, NORTH TONAWANDA, NY 14120-2019
(716) 692-2160
(716) 213-0935
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02730918
—
NY
Enumeration date
06/22/2006
Last updated
11/20/2007
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