Individual provider · Type 1 NPI

Samrajyam Kolluru, MD

Specialist · Odessa, TX

NPI number 1770580631 Active

Practice location

621 N Washington Ave
Odessa, TX 79761-4436

Call (432) 580-9999 Map

Fax (432) 580-5051

Mailing address

5 Santa Maria Ct
Odessa, TX 79765-8515

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XH9663 (TX)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Other specialist providers in Odessa

See all in Odessa →

About NPI 1770580631

Samrajyam Kolluru, MD's National Provider Identifier is 1770580631, issued on Jul 6, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Odessa, TX. The record was last updated on Jul 8, 2007.