Individual provider · Type 1 NPI
Mangaraju Kolluru, MD
General Practice Physician · Selma, NC
NPI number
1346250800
Active
Practice location
1101 River Rd
Selma, NC 27576-3611
Fax (919) 975-1029
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics Physician | 208000000X | 26290 (NC) |
| General Practice Physician Primary | 208D00000X | 26290 (NC) |
General Practice Physician: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.
Another provider at this address
About NPI 1346250800
Mangaraju Kolluru, MD's National Provider Identifier is 1346250800, issued on Aug 8, 2006. The primary taxonomy on file is General Practice Physician (208D00000X), and the practice location is in Selma, NC. The record was last updated on Sep 21, 2012.