Mrs Sudha R Kolli, MD | |
262 Livingston Ave, New Brunswick, NJ 08901-3058 | |
(732) 249-2044 | |
(732) 790-2626 |
Full Name | Mrs Sudha R Kolli |
---|---|
Gender | Female |
Speciality | Internal Medicine - Geriatric Medicine |
Location | 262 Livingston Ave, New Brunswick, New Jersey |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174623508 | NPI | - | NPPES |
8181705 | Medicaid | NJ |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207RG0300X | Internal Medicine - Geriatric Medicine | MA69513 (New Jersey) | Primary |
207R00000X | Internal Medicine | 25MA06951300 (New Jersey) | Secondary |
Entity Name | Robert Wood Johnson Physician Enterprise |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245587922 PECOS PAC ID: 5597917633 Enrollment ID: O20121218000345 |
Mailing Address | Practice Location Address |
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Mrs Sudha R Kolli, MD 262 Livingston Ave, New Brunswick, NJ 08901-3058 Ph: (732) 249-2044 | Mrs Sudha R Kolli, MD 262 Livingston Ave, New Brunswick, NJ 08901-3058 Ph: (732) 249-2044 |
Jennifer Waldmann, M.D Geriatric Medicine Medicare: Medicare Enrolled Practice Location: 254 Easton Ave, New Brunswick, NJ 08901 Phone: 732-996-6741 | |
Lokesh Lahoti, Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-823-3000 | |
Dr. Imran Khan, M.D., PH.D. Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 125 Paterson St, Suite 5200, New Brunswick, NJ 08901 Phone: 732-235-6531 | |
Dr. Robert Louis Wong, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 125 Paterson St Ste 5100, New Brunswick, NJ 08901 Phone: 732-235-6583 Fax: 732-235-7238 | |
Eric A Rubin, Geriatric Medicine Medicare: Not Enrolled in Medicare Practice Location: 195 Little Albany St, New Brunswick, NJ 08901 Phone: 732-235-2465 | |
Haris Ishaque Rana, MD Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 240 Easton Ave, New Brunswick, NJ 08901 Phone: 732-745-8564 Fax: 732-745-9156 | |
Amanda Borham, M.D. Geriatric Medicine Medicare: Accepting Medicare Assignments Practice Location: 1 Robert Wood Johnson Pl, New Brunswick, NJ 08901 Phone: 732-235-7794 Fax: 732-235-7238 |