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1073515987
PRAVEEN KOLLIPARA
FORT WAYNE, IN
NPI
1073515987
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RH0003X Internal Medicine Hematology & Oncology
(Licence: IN 01046718A)
Enumeration Date
2005-08-10
Last Update Date
2024-12-06
Business Address
PRAVEEN KOLLIPARA MD
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804-4159
Phone number: 260-484-8830
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Mailing Address
PRAVEEN KOLLIPARA MD
PO BOX 749495
ATLANTA, GA 30374-9495
Phone number: 855-963-2100
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