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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MS. POOJITHA KOLLURI, MD

Deactivated

MS. POOJITHA KOLLURI, MD is a Family Medicine healthcare provider located in SHELBYVILLE, Illinois. NPI 1306402870 is deactivated in the NPPES registry. Verify at CMS.

Family Medicine · SHELBYVILLE, IL

This NPI has been deactivated. The record was deactivated on January 13, 2020. Deactivated NPIs are no longer valid for billing or credentialing. The provider may have retired, changed practice status, or had their NPI administratively deactivated. Verify current licensure status with the NPPES NPI Registry or the relevant state medical board before relying on this record.

Registration Details

NPI Number
1306402870
Provider Type
Individual
Gender
Female
NPI Issued
May 10, 2019 (0.6775956284153 yrs)
Last Updated
May 13, 2022
Deactivated
Jan 13, 2020
License
036158456 (IL)

Practice Information

Address
200 S CEDAR ST
SHELBYVILLE, IL, 625651838
Browse IL providers · Browse ZIP 62565
Phone
2177744400
Fax
2177746445
Primary Specialty
Family Medicine
207Q00000X
Additional Specialty
Family Medicine

Other Family Medicine Providers in SHELBYVILLE, IL

Name Credential NPI
DR. DORIS ANN BOWERS M.D. 1275525990
DR. DAVID M OLIGSCHLAEGER D.O. 1851383418
DR. EDWIN J SIROY MD 1386752533
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.