Dr Mangaraju Kolluru, MD is a
General Practice physician based in Selma, North Carolina. Dr Mangaraju Kolluru is licensed to practice in North Carolina (license number 26290) and his current practice location is 1101 River Rd, Selma, North Carolina. He can be reached at his office (for appointments etc.) via phone at
(919) 965-9655.
NPI number for Dr Mangaraju Kolluru is 1346250800 and his current mailing address is 1101 River Rd, Selma, North Carolina. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1346250800.
Physician's Profile
Full Name | Dr Mangaraju Kolluru |
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Gender | Male |
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Speciality | General Practice |
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Location | 1101 River Rd, Selma, North Carolina |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1346250800
- Provider Enumeration Date: 08/08/2006
- Last Update Date: 09/21/2012
Medical Identifiers
Medical identifiers for Dr Mangaraju Kolluru such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1346250800 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
208000000X | Pediatrics | 26290 (North Carolina) | Secondary |
208D00000X | General Practice | 26290 (North Carolina) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Mangaraju Kolluru is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Dr Mangaraju Kolluru, MD 1101 River Rd, Selma, NC 27576-3611 Ph: (919) 965-6550 | Dr Mangaraju Kolluru, MD 1101 River Rd, Selma, NC 27576-3611 Ph: (919) 965-9655 |
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