Kollipara, Madhu S
Kollipara, Madhu S is an individual health care provider with primary practice located at 1044 Belmont Ave , Youngstown OH 44504-1006. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Critical Care Medicine, Allopathic & Osteopathic Physicians / Pulmonary Disease. Allopathic & Osteopathic Physicians / Pulmonary Disease is his primary health care specialty. Kollipara, Madhu S can be contacted via phone (330) 480-3258.Contact Information
Primary practice address
1044 Belmont Ave
Youngstown OH 44504-1006
Phone: (330) 480-3258
Fax: (330) 480-4119
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Critical Care Medicine | 207RC0200X | M6239 | Texas |
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | M6239 | Texas |
Profile Details
| NPI number | 1891706834 |
|---|---|
| LBN Legal business name | Kollipara, Madhu S |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 11th, 2006 |
| Last updated | Mar 14th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891706834 | NPPES |
| Texas | MEDICAID | 191027503 | |
| Texas | MEDICAID | 191027501 | |
| Texas | MEDICAID | 191027504 |
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