Individual
ABHILASH T KOLLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2300 S 16TH ST, LINCOLN, NE 68502-3704
(347) 205-4525
Mailing address
4433 S 70TH ST STE 100, LINCOLN, NE 68516-4275
(402) 486-7075
(402) 434-6047
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25750
NE
208M00000X
Hospitalist Physician
Primary
25750
NE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
030378185-00
—
NE
Enumeration date
05/11/2008
Last updated
11/29/2018
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