PRAVEEN KOLLIPARA

FORT WAYNE, IN
NPI1073515987
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207RH0003X Internal Medicine, Hematology & Oncology
(Licence: IN  01046718A)
Enumeration Date2005-08-10
Last Update Date2020-05-06
Business Address
PRAVEEN KOLLIPARA MD
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804-4159
Phone number: 260-484-8830
Mailing Address
PRAVEEN KOLLIPARA MD
7910 W JEFFERSON BLVD STE 108
FORT WAYNE, IN 46804-4159
Phone number: 260-484-8830
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