Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MANGARAJU KOLLURU, M.D.
ActiveDR. MANGARAJU KOLLURU, M.D. is a General Practice healthcare provider located in SELMA, North Carolina. NPI 1346250800 is currently active in the NPPES registry. Verify at CMS.
General Practice · SELMA, NC
Registration Details
- NPI Number
- 1346250800
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 8, 2006 (20.050985971773 yrs)
- Last Updated
- Sep 21, 2012
- Licenses
-
26290 (NC)26290 (NC)
Practice Information
- Address
-
1101 RIVER RDSELMA, NC, 275763611Browse NC providers · Browse ZIP 27576
- Phone
- 9199659655
- Fax
- 9199751029
- Primary Specialty
-
General Practice
208D00000X
- Additional Specialty
- General Practice
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.