MRS. SUDHA R KOLLI MD NPI 1174623508

NPI Information

NPI: 1174623508
Provider Name: MRS. SUDHA R KOLLI, MD
Classification: Internal Medicine - 207RG0300X
Entity Type: Individual

Specialization: Geriatric Medicine

PECOS Registration: Yes

Address:
262 LIVINGSTON AVE
NEW BRUNSWICK, NJ
ZIP 08901
Phone: (732) 249-2044
Get Directions

MRS. Sudha R Kolli, MD is a geriatric medicine internal medicine in New Brunswick, NJ. The provider is an internist who has special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes and the hospital. MRS. Sudha R Kolli, MD NPI is 1174623508. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

262 LIVINGSTON AVE
NEW BRUNSWICK, NJ
ZIP 08901-058
Phone: (732) 249-2044
Fax: (732) 790-2626

The NPI 1174623508 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 3/13/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207R00000X	Internal Medicine		25MA06951300	NEW JERSEY	No
2	207RG0300X	Internal Medicine	Geriatric Medicine	MA69513	NEW JERSEY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	036601	MEDICARE PIN	NEW JERSEY
2	8181705	MEDICAID	NEW JERSEY
3	M12523	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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