Pavan Kolluri, MD is a medicare enrolled "Emergency Medicine" physician in South Windsor, Connecticut. His current practice location is
204 Talcott Ridge Rd, South Windsor, Connecticut. You can reach out to his office (for appointments etc.) via phone at
(860) 648-4032.
Pavan Kolluri is licensed to practice in Kentucky (license number 36831) and he also participates in the medicare program. He
accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1477586428.
Physician's Profile
Full Name | Pavan Kolluri |
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Gender | Male |
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Speciality | |
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Experience | Years |
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Location | 204 Talcott Ridge Rd, South Windsor, Connecticut |
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Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Medical Education and Training:
- Pavan Kolluri attended and graduated from in
NPI Data:
- NPI Number: 1477586428
- Provider Enumeration Date: 07/09/2006
- Last Update Date: 10/15/2008
Medicare PECOS Information:
- PECOS PAC ID:
- Enrollment ID:
Medical Identifiers
Medical identifiers for Pavan Kolluri such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1477586428 | NPI | - | NPPES |
64036676 | Medicaid | KY | |
930109200 | Other | KY | RAILROAD |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
207P00000X | Emergency Medicine | 36831 (Kentucky) | 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. Pavan Kolluri is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Pavan Kolluri, MD 204 Talcott Ridge Rd, South Windsor, CT 06074-2394 Ph: (860) 648-4032 | Pavan Kolluri, MD 204 Talcott Ridge Rd, South Windsor, CT 06074-2394 Ph: (860) 648-4032 |
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