Kolluru, Samrajyam

Kolluru, Samrajyam is an individual health care provider with primary practice located at 621 N Washington Ave , Odessa TX 79761-4436. She recently has only one registered license in Other Service Providers / Specialist, which is considered as her primary health care specialty. Kolluru, Samrajyam can be contacted via phone (432) 580-9999.

Contact Information

Primary practice address
621 N Washington Ave Odessa TX 79761-4436
Phone: (432) 580-9999
Fax: (432) 580-5051
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H9663 Texas

Profile Details

NPI number 1770580631
LBN Legal business name Kolluru, Samrajyam
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 6th, 2005
Last updated Jul 8th, 2007 - about 19 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.

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