GOPALA RAO KOLLURU M.D. NPI 1164500682

NPI Information

  • NPI: 1164500682
  • Provider Name: GOPALA RAO KOLLURU, M.D.
  • Classification: Internal Medicine - 207RC0000X
  • Specialization: Cardiovascular Disease
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 27206 CALAROGA AVE
    SUITE 207
    HAYWARD, CA
    ZIP 94545
  • Phone: (510) 797-5057

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NPI Details

Gopala Rao Kolluru, M.D. is a cardiovascular disease internal medicine in Hayward, CA. The provider is an internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. Gopala Rao Kolluru, M.D. NPI is 1164500682. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

27206 CALAROGA AVE
SUITE 207
HAYWARD, CA
ZIP 94545-300
Phone: (510) 797-5057
Fax: (510) 797-5058

The NPI 1164500682 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 11/1/2006 and was last updated on 7/12/2012.

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
1207RC0000XInternal MedicineCardiovascular DiseaseA38134CALIFORNIAYes

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 Other Provider Identifier Issuer
1A28544MEDICARE UPINCALIFORNIA
200A381340MEDICAIDCALIFORNIA
300A38134MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
400A381340MEDICARE PINCALIFORNIA
5A3813410MEDICAIDCALIFORNIA

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: 11/21/2025

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